| Linda J. Klaitz Ed.d. Pc | |
|
300 W Wieuca Rd Ne Bld.2 Suite 200 Atlanta GA 30342-3352 | |
| (404) 257-0964 | |
| Not Available |
| Full Name | Linda J. Klaitz Ed.d. Pc |
|---|---|
| Speciality | Psychologist |
| Location | 300 W Wieuca Rd Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Linda J. Klaitz (MEDICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4042570964 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Linda J. Klaitz Ed.d. Pc 300 W Wieuca Rd Ne Bld.2 Suite 200 Atlanta GA 30342-3352 Ph: (404) 257-0964 | Linda J. Klaitz Ed.d. Pc 300 W Wieuca Rd Ne Bld.2 Suite 200 Atlanta GA 30342-3352 Ph: (404) 257-0964 |
| NPI Number | 1578860854 |
|---|---|
| Provider Enumeration Date | 02/22/2011 |
| Last Update Date | 02/22/2011 |
| Medicare PECOS PAC ID | 4183805211 |
|---|---|
| Medicare Enrollment ID | O20110223000450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578860854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | PSY000767 (Georgia) | Primary |
| Provider Name | Linda J Klaitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073642385 PECOS PAC ID: 5193822799 Enrollment ID: I20070516000068 |
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