Organization · Type 2 NPI

Hopebridge, LLC

Child & Adolescent Psychiatry Physician · Fayetteville, GA

NPI number 1053872291 Active

Practice location

126 Pavilion Pkwy
Fayetteville, GA 30214-4056

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
Psychologist 103T00000XNone listed
Clinical Psychologist 103TC0700XNone listed
Assistant Behavior Analyst 106E00000XNone listed
Behavior Technician 106S00000XNone listed
Child & Adolescent Psychiatry Physician Primary 2084P0804XNone listed
Physical Therapist 225100000XNone listed
Occupational Therapist 225X00000XNone listed
Speech-Language Pathologist 235Z00000XNone listed

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1053872291

Hopebridge, LLC's National Provider Identifier is 1053872291, issued on Mar 29, 2019. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Fayetteville, GA. The record was last updated on Mar 29, 2019.