Individual provider · Type 1 NPI

John Azar-Dickens, PhD

Clinical Psychologist · Rome, GA

NPI number 1104984103 Active

Practice location

106 E 5th Ave
Rome, GA 30161-3128

Fax (706) 232-8050

Mailing address

PO Box 6206
Rome, GA 30162-6206

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X2459 (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 1104984103

John Azar-Dickens, PhD's National Provider Identifier is 1104984103, issued on Dec 4, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Rome, GA. The record was last updated on Jul 9, 2007.