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General NPI Number Information
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NPI Number | 1407069685
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Entity Type | Organization
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Legal Business Name | GEORGIA PSYCHOLOGICAL SERVICES FOR SENIORS INC
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2160 FOUNTAIN DR
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City | SNELLVILLE
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State | GA
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Zip | 30078-7022
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Country | US
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Telephone | 404-843-3159
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Fax | 770-982-8848
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Provider Business Mailing Address
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Address Line | 2160 FOUNTAIN DR
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City | SNELLVILLE
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State | GA
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Zip | 30078-7022
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Country | US
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Telephone | 404-843-3159
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Fax | 770-982-8848
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAY ALAN WEINSTEIN
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Credential | PH.D.
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Telephone | 770-982-2352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 2257
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2257
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License Number State | GA
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