Preferred Psychological Service, LLC

NPI #1043581671 in Canton, Georgia

Provider Information

NPI Number: 1043581671
Entity Type: Organization
Organization Name: Preferred Psychological Service, LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Jan 12, 2012
Last Updated: Jan 12, 2012

Practice Location

Address: 24 WALESKA ST
Address 2: SUITE 100
City: Canton
State: Georgia
ZIP Code: 30114-2739
Phone: (678) 606-0680

Authorized Official

Name: MRS. EVA DIANE MARTIN, LPC
Title: MANAGING MEMBER
Phone: (678) 606-0680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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