Individual
CATHY LISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 NORTH AVENUE, ATHENS, GA 30601
(706) 542-9739
(706) 542-9693
Mailing address
250 NORTH AVENUE, ATHENS, GA 30601
(706) 542-9739
(706) 542-9693
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
RN102062
GA
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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