Providence Psychological Services P.c.

NPI #1770759219 in Americus, Georgia

Provider Information

NPI Number: 1770759219
Entity Type: Organization
Organization Name: Providence Psychological Services P.c.
Primary Specialty: Psychologist - Clinical
Enumeration Date: May 5, 2008
Last Updated: May 5, 2008

Practice Location

Address: 615 BARLOW ST
City: Americus
State: Georgia
ZIP Code: 31709-4206
Phone: (229) 928-9887

Authorized Official

Name: LEEANN K FRANTZ
Title: OFFICE MANAGER
Phone: (229) 928-9887

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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