MEDICARE: DR. MARY ELISSA MAHON PHD

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
1	103T00000X	Psychologist	PSY001528	GA

General Provider Information

NPI Number	:	1396829875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY ELISSA MAHON PHD

Provider Business Mailing Address
First Line	:	6065 LAKE FORREST DR NW
Second Line	:	SUITE 150
City	:	ATLANTA
State	:	GA
Zip	:	30328-3844
Country	:	US
Telephone Number	:	404-256-3889
Fax Number	:	770-579-1967

Provider Business Practice Location Address
First Line	:	6065 LAKE FORREST DR NW
Second Line	:	SUITE 150
City	:	ATLANTA
State	:	GA
Zip	:	30328-3844
Country	:	US
Telephone Number	:	404-256-3889
Fax Number	:	770-579-1967

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	07/09/2007

Similar Medicare Providers

1760644421 — MELISSA BEDDINGFIELD LPC
Practice Location Address:

6065 LAKE FORREST DR STE 170
ATLANTA, GA
30328-3844

Practice Phone: 404-642-5099
Practice Fax: 404-855-3993

1336638345 — BETHANY S LACHENEY NP
Practice Location Address:

5665 NEW NORTHSIDE DR STE 320
ATLANTA, GA
30328

Practice Phone: 770-874-5408
Practice Fax:

1023010220 — DR. SANJAY A. BHANSALI M.D.
Practice Location Address:

5881 GLENRIDGE DR NE , STE 230
ATLANTA, GA
30328-5301

Practice Phone: 404-943-0170
Practice Fax: 404-943-0171

1427052497 — JASON SCOT BRODY M.D.
Practice Location Address:

800 MOUNT VERNON HWY , SUITE 125
ATLANTA, GA
30328-4295

Practice Phone: 404-256-1125
Practice Fax: 404-256-1964

1255335923 — DR. BRIAN D SALMENSON M.D.
Practice Location Address:

800 MOUNT VERNON HWY , SUITE 125
ATLANTA, GA
30328-4295

Practice Phone: 404-256-1125
Practice Fax: 404-256-1964

1285632455 — DR. WILLIAM G. KEYES M.D.
Practice Location Address:

5901B PEACHTREE DUNWOODY RD NE , SUITE B-420
ATLANTA, GA
30328-5382

Practice Phone: 404-252-9751
Practice Fax: 678-990-5763

Directions to “ DR. MARY ELISSA MAHON PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.