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General NPI Number Information
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NPI Number | 1164070348
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Entity Type | Organization
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Legal Business Name | WHATSON PSYCHOLOGY, LLC
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Dates
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Enumeration Date | 08/30/2019
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 2211 DARTMOUTH RD
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City | AUGUSTA
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State | GA
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Zip | 30904-3429
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Country | US
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Telephone | 706-834-5864
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Fax |
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Provider Business Mailing Address
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Address Line | 1415 HIGHWAY 85 N STE 310-542
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-7738
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Country | US
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Telephone | 706-834-5864
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Fax |
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Authorized Official
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Title or Position | OWNER/AO
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Name | DR. SAMANTHA L WHATSON
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Credential | PSYD
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Telephone | 706-834-5864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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