Ralph Norman Allsopp, PH.D.
Individual provider Active NPI Clinical Psychologist · Atlanta, GA
NPI 1003016684 · NPPES record last updated Jul 20, 2007
Key facts
- NPI
- 1003016684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 00851 (GA)
- Practice address
- 5590 Long Island Dr NW
Atlanta, GA 30327-4861 - Phone
- (404) 909-2398
- Fax
- (404) 256-9121
- NPI assigned
- Jul 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00851 | GA | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 00851 | GA | Yes |
Addresses
Primary practice location
5590 Long Island Dr NW
Atlanta, GA 30327-4861
Mailing address
5590 Long Island Dr NW
Atlanta, GA 30327-4861
Phone (404) 909-2398
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00277582A | Medicaid | GA |
Other names
- Dr. Ralph Norman Allsopp
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All providers in Atlanta, GA · Clinical Psychologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.