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General NPI Number Information
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NPI Number | 1336271337
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Entity Type | Individual
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Provider Name | JUDY DRAISIN WOLMAN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 6000 LAKE FORREST DR NW STE. 575
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City | ATLANTA
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State | GA
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Zip | 30328-3824
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Country | US
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Telephone | 404-255-1032
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Fax | 404-255-3234
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Provider Business Mailing Address
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Address Line | 3820 ROSWELL RD NE #801
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City | ATLANTA
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State | GA
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Zip | 30342-4441
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Country | US
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Telephone | 404-816-5689
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Fax | 404-255-3234
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 1019
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | 1019
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1019
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 1019
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License Number State | GA
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