Alliance for Change

Organization Active NPI Psychologist · Duluth, GA

NPI 1689852758 · NPPES record last updated Jan 31, 2008

Key facts

NPI
1689852758
Entity type
Organization (NPI type 2)
Primary specialty
Psychologist 103T00000X
License
1209 (GA)
Legal business name
ALLIANCE FOR CHANGE
Practice address
2250 Satellite Blvd
Suite 230
Duluth, GA 30097-4906
Phone
(770) 813-1544
Fax
(770) 813-1545
NPI assigned
Jan 31, 2008
Organization subpart
No

Authorized official

Name
Dr. Douglas E. Rosenau, ED.D.
Title
Psychologist
Phone
(770) 813-1544

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

2250 Satellite Blvd
Ste 230
Duluth, GA 30097
Phone (770) 813-1544

1325 Satellite Blvd NW
Ste 102
Suwanee, GA 30024
Phone (770) 813-1544

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist
Group: 193400000X SINGLE SPECIALTY GROUP
103T00000X 1209 GA Yes

Addresses

Primary practice location

2250 Satellite Blvd
Suite 230
Duluth, GA 30097-4906

Mailing address

2250 Satellite Blvd
Suite 230
Duluth, GA 30097-4906
Phone (770) 813-1544

Other providers in Duluth, GA

All providers in Duluth, GA · Psychologist in Georgia

Sources for this page

Verify at the official NPI Registry.