| Roswell Psychiatric Services, Pc | |
|
77 E Crossville Rd Ste. 206 Roswell GA 30075-5815 | |
| (770) 552-4655 | |
| (770) 552-4282 |
| Full Name | Roswell Psychiatric Services, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 77 E Crossville Rd, Roswell, Georgia |
| Authorized Official Name and Position | Consuelo Reddick (OWNER) |
| Authorized Official Contact | 7705524655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roswell Psychiatric Services, Pc Po Box 1988 Roswell GA 30077-1988 Ph: (770) 552-4655 | Roswell Psychiatric Services, Pc 77 E Crossville Rd Ste. 206 Roswell GA 30075-5815 Ph: (770) 552-4655 |
| NPI Number | 1114251188 |
|---|---|
| Provider Enumeration Date | 09/24/2009 |
| Last Update Date | 09/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114251188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 044067 (Georgia) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 044067 (Georgia) | Primary |
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