Organization · Type 2 NPI
Family First Medical Center LLC
Health Service Psychologist · East Point, GA
Practice location
1203 Cleveland Ave Ste 1
East Point, GA 30344-3417
Fax (404) 209-1411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist Primary | 103TH0100X | 08064086 (GA) |
Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
About NPI 1093070773
Family First Medical Center LLC's National Provider Identifier is 1093070773, issued on Jul 9, 2012. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in East Point, GA. The record was last updated on Jul 9, 2012.