Organization · Type 2 NPI

Stephanie L. Ezust, Ph.d., PC

Clinical Psychologist · Atlanta, GA

NPI number 1821212341 Active

Practice location

1348 Ponce De Leon Ave NE
Atlanta, GA 30306-4604

Call (404) 371-9171 Map

Fax (404) 371-9172

Mailing address

PO Box 1192
Decatur, GA 30031-1192

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X1513 (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 1821212341

Stephanie L. Ezust, Ph.d., PC's National Provider Identifier is 1821212341, issued on Apr 13, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Atlanta, GA. The record was last updated on Feb 27, 2020.