West Georgia Psychological Services

NPI #1962543579 in Douglasville, Georgia

Provider Information

NPI Number
1962543579
Entity Type
Organization
Organization Name
West Georgia Psychological Services
Primary Specialty
Psychologist - Clinical
Enumeration Date
Feb 8, 2007
Last Updated
Apr 24, 2012

Practice Location

Address
6264 HOSPITAL WAY
State
Georgia
ZIP Code
30134-1944
Phone
(678) 232-9078

Authorized Official

Name
DR. TINA MARIE CAUDILL, PSY.D.
Title
PSYCHOLOGIST
Phone
(678) 232-9078

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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