Laronta Upson Rush, PHD - Psychologist in Tucker, GA

Laronta Upson Rush, PHD is a Psychologist - Clinical Child & Adolescent based in Tucker, Georgia. Laronta Upson Rush is licensed to practice in Georgia (license number 003025) and her current practice location is 3760 Lavista Rd Ste 102, Tucker, Georgia. She can be reached at her office (for appointments etc.) via phone at (770) 375-8124.

NPI number for Laronta Upson Rush is 1356419790 and her current mailing address is 3760 Lavista Rd Ste 102, Tucker, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356419790.

Contact Information

Laronta Upson Rush, PHD
3760 Lavista Rd Ste 102,
Tucker, GA 30084-5622
(770) 375-8124
(770) 559-5543

Map and Direction




Healthcare Provider's Profile

Full NameLaronta Upson Rush
GenderFemale
SpecialityPsychologist - Clinical Child & Adolescent
Location3760 Lavista Rd Ste 102, Tucker, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1356419790
  • Provider Enumeration Date: 12/02/2006
  • Last Update Date: 11/30/2021

Medical Identifiers

Medical identifiers for Laronta Upson Rush such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356419790NPI-NPPES
636448495EMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 003025 (Georgia)Secondary
103TS0200XPsychologist - School 003025 (Georgia)Secondary
103TC2200XPsychologist - Clinical Child & Adolescent 003025 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Laronta Upson Rush is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Laronta Upson Rush, PHD
3760 Lavista Rd Ste 102,
Tucker, GA 30084-5622

Ph: (770) 375-8124
Laronta Upson Rush, PHD
3760 Lavista Rd Ste 102,
Tucker, GA 30084-5622

Ph: (770) 375-8124

Reviews and Comments


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