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NPI Code Detail

MEDICARE: DR. EVELYN ABRAMOVICH PH.D.

MEDICARE:  DR. EVELYN  ABRAMOVICH  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY002982GA

General Provider Information

NPI Number : 1467474346
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EVELYN ABRAMOVICH PH.D.
Provider Business Mailing Address
First Line : 316 ALEXANDER ST SE STE 8
Second Line :
City : MARIETTA
State : GA
Zip : 30060-2001
Country : US
Telephone Number : 770-590-9151
Fax Number : 770-590-9152
Provider Business Practice Location Address
First Line : 316 ALEXANDER ST SE STE 8
Second Line :
City : MARIETTA
State : GA
Zip : 30060-2001
Country : US
Telephone Number : 770-590-9151
Fax Number : 770-590-9152
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2006
Last Update Date : 07/08/2007

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Directions to “ DR. EVELYN ABRAMOVICH PH.D.” Practice Location

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