| Wellstar Neuropsychology, Llc | |
|
677 Church St Ne Marietta GA 30060-1101 | |
| (770) 793-6695 | |
| (770) 793-7997 |
| Full Name | Wellstar Neuropsychology, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 677 Church St Ne, Marietta, Georgia |
| Authorized Official Name and Position | Nicole Ashe (EXECUTIVE DIRECTOR OF FINANCE) |
| Authorized Official Contact | 7707925261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellstar Neuropsychology, Llc 677 Church St Ne Marietta GA 30060-1101 Ph: (770) 793-6695 | Wellstar Neuropsychology, Llc 677 Church St Ne Marietta GA 30060-1101 Ph: (770) 793-6695 |
| NPI Number | 1083880744 |
|---|---|
| Provider Enumeration Date | 05/02/2008 |
| Last Update Date | 02/24/2020 |
| Certification Date | 02/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083880744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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