Healthcare Provider Details

I. General information

NPI: 1306667589
Provider Name (Legal Business Name): BRIANNA GUTHRIE-SAVAGE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2024
Last Update Date: 10/21/2024
Certification Date: 10/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6290 ABBOTTS BRIDGE RD STE 304
DULUTH GA
30097-1750
US

IV. Provider business mailing address

PO BOX 748465
ATLANTA GA
30374-8465
US

V. Phone/Fax

Practice location:
  • Phone: 229-800-9695
  • Fax:
Mailing address:
  • Phone: 855-284-7483
  • Fax: 617-807-0958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY004826
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: