Organization
CEREBROFIT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VONETTA DOTSON PHD (PRESIDENT)
(352) 213-0100
Entity
Organization
Contact information
Practice address
2752 E PONCE DE LEON AVE STE G, DECATUR, GA 30030-2714
(404) 482-3898
(404) 348-2359
Mailing address
3328 E PONCE DE LEON AVE UNIT 437, SCOTTSDALE, GA 30079
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
133V00000X
Registered Dietitian
—
—
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
04/05/2024
Last updated
04/11/2024
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