Georgia Psychological Services for Seniors Inc
Organization Active NPI Clinical Psychologist · Snellville, GA
NPI 1407069685 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1407069685
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 2257 (GA)
- Legal business name
- GEORGIA PSYCHOLOGICAL SERVICES FOR SENIORS INC
- Practice address
- 2160 Fountain Dr
Snellville, GA 30078-7022 - Phone
- (404) 843-3159
- Fax
- (770) 982-8848
- NPI assigned
- May 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Jay Alan Weinstein, PH.D.
- Title
- Owner
- Phone
- (770) 982-2352
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist |
103G00000X | 2257 | GA | |
| Clinical Psychologist |
103TC0700X | 2257 | GA | Yes |
Addresses
Primary practice location
2160 Fountain Dr
Snellville, GA 30078-7022
Mailing address
2160 Fountain Dr
Snellville, GA 30078-7022
Phone (404) 843-3159
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All providers in Snellville, 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 Sep 11, 2025. 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.