Individual
DR. LUCINDA TAYLOR GRAPENTHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10475 MEDLOCK BRIDGE RD, BUILDING 300 SUITE 315, DULUTH, GA 30097-2002
(404) 433-7363
Mailing address
10475 MEDLOCK BRIDGE RD, BUILDING 300 SUITE 315, DULUTH, GA 30097-2002
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2289
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00922556A
—
GA
Enumeration date
12/18/2006
Last updated
07/08/2007
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