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NPI Code Detail

MEDICARE: DR. ALBERT BENJAMIN MORAVITZ TH.D., LPC, NCC

MEDICARE:  DR. ALBERT BENJAMIN MORAVITZ  TH.D., LPC, NCC
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
1101YP2500XProfessional CounselorLPC003627GA

General Provider Information

NPI Number : 1477517068
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALBERT BENJAMIN MORAVITZ TH.D., LPC, NCC
Provider Business Mailing Address
First Line : 4841 TOWNSHIP RDG
Second Line :
City : MARIETTA
State : GA
Zip : 30066-1773
Country : US
Telephone Number : 770-650-0261
Fax Number :
Provider Business Practice Location Address
First Line : 316 ALEXANDER ST SE STE 2
Second Line :
City : MARIETTA
State : GA
Zip : 30060-2001
Country : US
Telephone Number : 678-524-4158
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2006
Last Update Date : 06/21/2010

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Directions to “ DR. ALBERT BENJAMIN MORAVITZ TH.D., LPC, NCC” Practice Location

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