Individual
HANNAH SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 CLIFTON RD NE, ATLANTA, GA 30322-4200
(240) 472-7472
Mailing address
4277 MCCLATCHEY CIR NE, ATLANTA, GA 30342-3415
(240) 472-7472
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY004535
GA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/26/2021
Last updated
10/29/2021
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