Individual
JUDY M ITURMENDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
315 WEST PONCE DE LEON AVENUE, SUITE 350, DECATUR, GA 30030-2490
(404) 373-2220
(404) 373-9337
Mailing address
315 WEST PONCE DE LEON AVENUE, SUITE 350, DECATUR, GA 30030-2490
(404) 373-2220
(404) 373-9337
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY003166
GA
Other
Enumeration date
01/20/2010
Last updated
02/01/2010
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