Individual
STEPHEN D FOGLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
814 JUNIPER ST NE STE 201, ATLANTA, GA 30308-1300
(404) 254-6816
Mailing address
3157 CAINTAL CT, DECATUR, GA 30033-1804
(828) 553-3175
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY004411
GA
Other
Enumeration date
08/12/2020
Last updated
08/28/2020
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