Organization
NEW LIFE PSYCHOLOGY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARNETTE BENDER GRALL PH.D. (OWNER)
(404) 518-1018
Entity
Organization
Contact information
Practice address
1805 HERRINGTON RD, BUILDING 2, LAWRENCEVILLE, GA 30043-7987
(770) 962-1944
Mailing address
1805 HERRINGTON RD, BUILDING 2, LAWRENCEVILLE, GA 30043-7987
(770) 962-1944
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002875
GA
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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