Atlanta Psychological Services, LLC

Organization Active NPI Psychologist · Atlanta, GA

NPI 1265745517 · NPPES record last updated Jul 15, 2010

Key facts

NPI
1265745517
Entity type
Organization (NPI type 2)
Primary specialty
Psychologist 103T00000X
Legal business name
ATLANTA PSYCHOLOGICAL SERVICES, LLC
Practice address
2308 Perimeter Park Dr
Suite 100
Atlanta, GA 30341-1316
Phone
(770) 457-5577
Fax
(770) 457-5599
NPI assigned
Jul 15, 2010
Organization subpart
No

Authorized official

Name
Dr. Andrew Gothard, PSY.D.
Title
Owner
Phone
(770) 457-5577

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X
Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP
103T00000X Yes

Addresses

Primary practice location

2308 Perimeter Park Dr
Suite 100
Atlanta, GA 30341-1316

Mailing address

2308 Perimeter Park Dr
Suite 100
Atlanta, GA 30341-1316
Phone (770) 457-5577

Other providers in Atlanta, GA

All providers in Atlanta, GA · Psychologist in Georgia

Sources for this page

Verify at the official NPI Registry.