| Dr Maria E Gangarosa-emerson, PHD | |
|
302 Baston Rd, Martinez, GA 30907-2906 | |
| (706) 447-8700 | |
| (706) 447-8701 |
| Full Name | Dr Maria E Gangarosa-emerson |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 302 Baston Rd, Martinez, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144437989 | NPI | - | NPPES |
| 000852277B | Medicaid | GA | |
| 020657518001 | Other | GA | FED TAX ID |
| 52669312-001 | Other | GA | INS ID |
| 020657518 | Other | GA | FED TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY 0002381 (Georgia) | Primary |
| 103G00000X | Clinical Neuropsychologist | 2381 (Georgia) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Maria E Gangarosa-emerson, PHD Po Box 2854, Evans, GA 30809-2854 Ph: (706) 447-8700 | Dr Maria E Gangarosa-emerson, PHD 302 Baston Rd, Martinez, GA 30907-2906 Ph: (706) 447-8700 |
Amy Holsten, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 3711 Executive Center Dr, Suite 101, Martinez, GA 30907 Phone: 706-210-8855 Fax: 678-541-7699 | |
Dr. Ewa Halina Paziak, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 522 Blackburn Dr, Martinez, GA 30907 Phone: 706-364-1820 Fax: 706-364-1870 | |
Dr. Patrick J. Williams, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4145 Columbia Road, Martinez, GA 30907 Phone: 706-869-7373 Fax: 706-869-7380 | |
Dr. Douglas Starling Panye, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3990 Columbia Rd, Martinez, GA 30907 Phone: 706-860-1122 Fax: 706-860-3839 | |
Dr. David Wayne Proefrock, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4684 Oakley Pirkle Rd, Martinez, GA 30907 Phone: 706-863-4534 | |
Dr. Dara A Delancy, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 3711 Executive Center Dr, Suite 101, Martinez, GA 30907 Phone: 706-210-8855 Fax: 678-541-7699 |