| Laura Riss, Psy.d. | |
|
1 Huntington Rd Ste 205 Athens GA 30606-7206 | |
| (706) 207-9151 | |
| (706) 850-0899 |
| Full Name | Laura Riss, Psy.d. |
|---|---|
| Speciality | Psychologist |
| Location | 1 Huntington Rd Ste 205, Athens, Georgia |
| Authorized Official Name and Position | Gloria Black (OFFICE REP.) |
| Authorized Official Contact | 7064100715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Riss, Psy.d. 1655 Centerview Dr Apt 435 Duluth GA 30096-7693 Ph: (706) 207-9151 | Laura Riss, Psy.d. 1 Huntington Rd Ste 205 Athens GA 30606-7206 Ph: (706) 207-9151 |
| NPI Number | 1134398357 |
|---|---|
| Provider Enumeration Date | 02/21/2008 |
| Last Update Date | 07/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134398357 | NPI | - | NPPES |
| 140137175B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY002955 (Georgia) | Primary |
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