| Neurosmart Psychological Associates, P.c. | |
|
309 Pirkle Ferry Rd Suite A-200 Cumming GA 30040-2546 | |
| (770) 889-2848 | |
| Not Available |
| Full Name | Neurosmart Psychological Associates, P.c. |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 309 Pirkle Ferry Rd, Cumming, Georgia |
| Authorized Official Name and Position | Kathryn C Black (PRESIDENT) |
| Authorized Official Contact | 7708892848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurosmart Psychological Associates, P.c. 309 Pirkle Ferry Rd Suite A-200 Cumming GA 30040-2546 Ph: (770) 889-2848 | Neurosmart Psychological Associates, P.c. 309 Pirkle Ferry Rd Suite A-200 Cumming GA 30040-2546 Ph: (770) 889-2848 |
| NPI Number | 1639290299 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 04/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639290299 | NPI | - | NPPES |
| 614308690A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (Georgia) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (Georgia) | Primary |
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