| Heather C. Futral, Psy-d, Llc | |
|
485 Huntington Rd Athens GA 30606-1861 | |
| (706) 885-0111 | |
| (706) 885-0607 |
| Full Name | Heather C. Futral, Psy-d, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 485 Huntington Rd, Athens, Georgia |
| Authorized Official Name and Position | Heather Futral (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 7075278645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heather C. Futral, Psy-d, Llc 485 Huntington Rd Athens GA 30606-1861 Ph: (706) 885-0111 | Heather C. Futral, Psy-d, Llc 485 Huntington Rd Athens GA 30606-1861 Ph: (706) 885-0111 |
| NPI Number | 1073881991 |
|---|---|
| Provider Enumeration Date | 12/06/2011 |
| Last Update Date | 12/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073881991 | NPI | - | NPPES |
| 003108625A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY003418 (Georgia) | Primary |
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