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NPI Code Detail

MEDICARE: DR. ANA ADELSTEIN PH.D.

MEDICARE: DR. ANA ADELSTEIN PH.D.
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
1103TC0700XClinical PsychologistPSY002524GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881778967
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANA ADELSTEIN PH.D.
Provider Business Mailing Address
First Line : 675 SEMINOLE AVE NE STE 307
Second Line :
City : ATLANTA
State : GA
Zip : 30307-3416
Country : US
Telephone Number : 678-701-9559
Fax Number : 877-455-0324
Provider Business Practice Location Address
First Line : 675 SEMINOLE AVENUE
Second Line : SUITE 307
City : ATLANTA
State : GA
Zip : 30307-3416
Country : US
Telephone Number : 678-701-9559
Fax Number : 877-455-0324
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 08/28/2019

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