Gary Santavicca, Ph.D. And Associates
Psychologist in Atlanta, GA(View on Map)
Legal Business Name
Gary Santavicca, Ph.D. And Associates
NPI Number
1518171222
NPI Type
Organization
Enumeration Date
05/10/2007
Specialties
(Taxonomies)Licenses
State
Georgia
License Number
PSY001224
Contact
Information
Purpose
Mailing
Location
Address
340 BOULEVARD NE
340 BOULEVARD NE
City
Atlanta
Atlanta
State
GA
GA
Postal Code
30312-1273
30312-1273
Country
US
US
Telephone Number
(404) 653-1117
(404) 653-1117
Authorized Official
Name
Ms. Ayanna Rule
Title or Position
INSURANCE MANAGER
Telephone Number
(404) 653-1117
Identifiers
Identifier
00423178B
00423178A
Identifier State
GA
GA
Identifier Issuer
Unknown
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/22/2020
Provider Address
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