Individual provider · Type 1 NPI

Maryann Kuruvilla Jacob, MD

Child & Adolescent Psychiatry Physician · Atlanta, GA

NPI number 1356375315 Active

Practice location

1001 Johnson Ferry Rd
Atlanta, GA 30342-1605

Mailing address

1401 Arnold Ave NE
Atlanta, GA 30324-4621

Specialties and licenses

TaxonomyCodeLicense
Child & Adolescent Psychiatry Physician Primary 2084P0804X058562 (GA)
Child & Adolescent Psychiatry Physician 2084P0804X4301086452 (MI)

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 1356375315

Maryann Kuruvilla Jacob, MD's National Provider Identifier is 1356375315, issued on Jul 10, 2006. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Atlanta, GA. The record was last updated on Dec 8, 2023.