Individual provider · Type 1 NPI
Samuel Jermaine Maddox, PhD
Clinical Psychologist · Atlanta, GA
Practice location
1777 Northeast Expy NE, Suite 175
Atlanta, GA 30329-2480
Fax (770) 788-7662
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | PSY002983 (GA) |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY002983 (GA) |
| Family Psychologist | 103TF0000X | PSY002983 (GA) |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | PSY002983 (GA) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1093904260
Samuel Jermaine Maddox, PhD's National Provider Identifier is 1093904260, issued on Oct 23, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Atlanta, GA. The record was last updated on Oct 23, 2007.