Healthcare Provider Details

I. General information

NPI: 1730125774
Provider Name (Legal Business Name): LAURA MEE PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 06/06/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5461 MERIDIAN MARK RD STE 400
ATLANTA GA
30342-3283
US

IV. Provider business mailing address

5461 MERIDIAN MARK RD STE 400
ATLANTA GA
30342-3283
US

V. Phone/Fax

Practice location:
  • Phone: 404-785-1112
  • Fax: 404-785-3600
Mailing address:
  • Phone: 404-785-1112
  • Fax: 404-785-3600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY001665
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: