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NPI Code Detail

MEDICARE: ASHLEE PICKETT PSYD

MEDICARE: ASHLEE PICKETT PSYD
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 PsychologistPSY004145GA

General Provider Information

NPI Number : 1730699687
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEE PICKETT PSYD
Provider Business Mailing Address
First Line : 2751 BUFORD HWY NE
Second Line : STE 700
City : ATLANTA
State : GA
Zip : 30324-5510
Country : US
Telephone Number : 470-231-8271
Fax Number :
Provider Business Practice Location Address
First Line : 2751 BUFORD HWY NE
Second Line : STE 700
City : ATLANTA
State : GA
Zip : 30324-5510
Country : US
Telephone Number : 470-231-8271
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2017
Last Update Date : 03/26/2020

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Directions to “ ASHLEE PICKETT PSYD” Practice Location

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