Peachtree Pediatric Psychology, LLC

NPI #1861998585 in Atlanta, Georgia

Provider Information

NPI Number: 1861998585
Entity Type: Organization
Organization Name: Peachtree Pediatric Psychology, LLC
Primary Specialty: Psychologist - Intellectual & Developmental Disabilities
Enumeration Date: Apr 2, 2018
Last Updated: Apr 2, 2018

Practice Location

Address: 750 HAMMOND DRIVE
Address 2: BLDG 7, STE 200
City: Atlanta
State: Georgia
ZIP Code: 30328
Phone: (404) 796-7777

Authorized Official

Name: DR. AVITAL K COHEN, PSY.D.
Title: LICENSED PSYCHOLOGIST
Phone: (404) 796-7777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities	103TM1800X	Primary

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