Evelyn Abramovich, PH.D.
Individual provider Active NPI Clinical Psychologist · Marietta, GA
NPI 1467474346 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1467474346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY002982 (GA)
- Practice address
- 316 Alexander St SE Ste 8
Marietta, GA 30060-2001 - Phone
- (770) 590-9151
- Fax
- (770) 590-9152
- NPI assigned
- Jul 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Psych Solutions Corp | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY002982 | GA | Yes |
Addresses
Primary practice location
316 Alexander St SE Ste 8
Marietta, GA 30060-2001
Mailing address
316 Alexander St SE Ste 8
Marietta, GA 30060-2001
Phone (770) 590-9151
Other providers in Marietta, GA
- Daryl Abney
- Houda Aboujamous
- Above and Beyond Healthcare Staffing Agency LLC
- Jeanne M Abplanalp
- Mary Theresa Abraham
- Jennifer Simpkins Abrom
- Andrea Cloninger Abshire
- Dinah Joseph Absi
- Absolute Surgical Assistants
- Mohammed Y Abubaker
All providers in Marietta, 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 8, 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.