| Atlanta Center For Cognitive Therapy, Mark Gilson, Ph.d. | |
|
1772 Century Boulevard, Ne Atlanta GA 30345-3396 | |
| (404) 248-1159 | |
| (404) 248-9776 |
| Full Name | Atlanta Center For Cognitive Therapy, Mark Gilson, Ph.d. |
|---|---|
| Speciality | Psychologist |
| Location | 1772 Century Boulevard, Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Mark Gilson (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4042481159 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta Center For Cognitive Therapy, Mark Gilson, Ph.d. 1772 Century Blvd Ne Atlanta GA 30345-3396 Ph: (404) 248-1159 | Atlanta Center For Cognitive Therapy, Mark Gilson, Ph.d. 1772 Century Boulevard, Ne Atlanta GA 30345-3396 Ph: (404) 248-1159 |
| NPI Number | 1033394820 |
|---|---|
| Provider Enumeration Date | 12/31/2007 |
| Last Update Date | 12/31/2007 |
| Medicare PECOS PAC ID | 6002898624 |
|---|---|
| Medicare Enrollment ID | O20040607000218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033394820 | NPI | - | NPPES |
| 00305819B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | 1022 (Georgia) | Primary |
| Provider Name | Mark Gilson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760597926 PECOS PAC ID: 1254524382 Enrollment ID: I20101021001028 |
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