Individual provider · Type 1 NPI

Kenneth Carter Boatner, ED.D., MPH

Psychologist · Atlanta, GA

NPI number 1306221411 Active

Practice location

565 Peachtree Street, N.e., Suite 1407
Atlanta, GA 30308-2277

Mailing address

565 Peachtree St NE Unit 1407
Atlanta, GA 30308-2277

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X003786 (GA)
Psychologist 103T00000X4286 (MA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1306221411

Kenneth Carter Boatner, ED.D., MPH's National Provider Identifier is 1306221411, issued on Jul 30, 2015. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Atlanta, GA. The record was last updated on Aug 12, 2015.