Organization
NEW LIFE PSYCHOLOGY SERVICES, LLC
Active
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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