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General NPI Number Information
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NPI Number | 1710086392
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Entity Type | Organization
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Legal Business Name | LOUISE CORDING, PH.D., P.C.
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 150 E PONCE DE LEON AVE SUITE 360
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City | DECATUR
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State | GA
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Zip | 30030-2543
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Country | US
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Telephone | 404-371-0497
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Fax | 404-370-1800
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Provider Business Mailing Address
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Address Line | 150 E PONCE DE LEON AVE SUITE 360
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City | DECATUR
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State | GA
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Zip | 30030-2543
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Country | US
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Telephone | 404-371-0497
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Fax | 404-370-1800
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. LOUISE G. CORDING
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Credential | PH.D.
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Telephone | 404-371-0497
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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 | 932
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License Number State | GA
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