MEDICARE: DR. MATTHEW JOEL SEGALL 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
1	103TS0200X	School Psychologist	PSY003675	GA
2	103T00000X	Psychologist	PSY003675	GA

General Provider Information

NPI Number	:	1679988752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW JOEL SEGALL PH.D.

Provider Business Mailing Address
First Line	:	1551 SHOUP CT
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-0001
Country	:	US
Telephone Number	:	404-727-8350
Fax Number	:

Provider Business Practice Location Address
First Line	:	1551 SHOUP CT
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-0001
Country	:	US
Telephone Number	:	404-727-8350
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2014
Last Update Date	:	01/02/2019

Similar Medicare Providers

1669305538 — SMRITI KANANGAT
Practice Location Address:

100 WOODRUFF CIR NE
ATLANTA, GA
30322-0001

Practice Phone: 404-727-5660
Practice Fax:

1265052021 — DANA GABRIELLE PENFOLD
Practice Location Address:

101 WOODRUFF CIRCLE , WMB SUITE 1105
ATLANTA, GA
30322-0001

Practice Phone: 404-727-3585
Practice Fax:

1881157865 — DR. ASWATHY MIRIAM CHERIYAN MD
Practice Location Address:

H184, 1364 CLIFTON RD NE
ATLANTA, GA
30322-0001

Practice Phone: 404-712-5227
Practice Fax:

1487659470 — DR. RONALD ALLEN MIHELIC PHARM.D.
Practice Location Address:

1364 CLIFTON ROAD NE , EMORY UNIVERSITY HOSPITAL DEPARTMENT OF PHARMACY
ATLANTA, GA
30322-0001

Practice Phone: 404-712-7425
Practice Fax: 404-712-1991

1053319251 — DR. GREGORY ALAN SMALLWOOD PHARMD
Practice Location Address:

DEPARTMENT OF PHARMACY EG #22 , 1364 CLIFTON RD., NE
ATLANTA, GA
30322-0001

Practice Phone: 404-712-7502
Practice Fax: 404-712-7577

1669471074 — DR. MICHAEL ROBERT BRUMUND M.D.
Practice Location Address:

EMORY UNIVERSITY HOSPITAL AND CLINICS 1364 CLIFTON ROAD
ATLANTA, GA
30322-0001

Practice Phone: 404-712-2000
Practice Fax:

1003800665 — DR. RUSSELL GORE M.D.
Practice Location Address:

101 WOODRUFF CIR STE 6000
ATLANTA, GA
30322-0001

Practice Phone: 404-727-5004
Practice Fax:

Directions to “ DR. MATTHEW JOEL SEGALL PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.