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NPI Code Detail

MEDICARE: PATRICIA K. ADKINS PSYCHOLOGICAL SERVICES, INC.

MEDICARE: PATRICIA K. ADKINS PSYCHOLOGICAL SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistPSY002409GA

General Provider Information

NPI Number : 1033444989
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATRICIA K. ADKINS PSYCHOLOGICAL SERVICES, INC.
Provider Business Mailing Address
First Line : 190 PAUL BRYANT RD
Second Line :
City : ROYSTON
State : GA
Zip : 30662-1965
Country : US
Telephone Number : 706-498-3086
Fax Number :
Provider Business Practice Location Address
First Line : 613 COOK ST
Second Line :
City : ROYSTON
State : GA
Zip : 30662-3933
Country : US
Telephone Number : 706-498-3086
Fax Number : 706-245-1854
Authorized Official
Title or Position : PSYCHOLOGIST/CEO
Name : DR. PATRICIA KIELEY ADKINS
Credential : PH.D.
Telephone Number : 706-498-3086
Provider Enumeration Date : 10/09/2009
Last Update Date : 10/09/2009

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