Organization
HIGHLAND PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA W ASHBAUGH PHD (OWNER)
(410) 905-1092
Entity
Organization
Contact information
Practice address
675 SEMINOLE AVE NE, SUITE 111, ATLANTA, GA 30307-3408
(404) 593-4836
Mailing address
675 SEMINOLE AVE NE, SUITE 111, ATLANTA, GA 30307-3408
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003067
GA
Other
Enumeration date
04/16/2010
Last updated
06/01/2011
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