Healthcare Provider Details

I. General information

NPI: 1972415966
Provider Name (Legal Business Name): PSYCHOLOGICAL ASSESSMENT SPECIALISTS OF NORTH ATLANTA, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1519 JOHNSON FERRY RD
MARIETTA GA
30062-6409
US

IV. Provider business mailing address

214 LELAND WAY
WOODSTOCK GA
30188-7412
US

V. Phone/Fax

Practice location:
  • Phone: 404-548-8764
  • Fax:
Mailing address:
  • Phone: 404-548-8764
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. GABRIELA GONZALEZ TORRES
Title or Position: OWNER
Credential: PSY.D.
Phone: 787-688-8040