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NPI Code Detail

MEDICARE: DANA WYNER PH.D.

MEDICARE:   DANA  WYNER  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 Psychologist016875-1NY
2103TC0700XClinical PsychologistPSY003264GA

General Provider Information

NPI Number : 1992928550
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA WYNER PH.D.
Provider Business Mailing Address
First Line : 1441 WOODMONT LN NW STE 1150
Second Line :
City : ATLANTA
State : GA
Zip : 30318-2866
Country : US
Telephone Number : 470-494-7464
Fax Number :
Provider Business Practice Location Address
First Line : 1441 WOODMONT LN NW STE 1150
Second Line :
City : ATLANTA
State : GA
Zip : 30318-2866
Country : US
Telephone Number : 470-494-7464
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2007
Last Update Date : 08/30/2023

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Directions to “ DANA WYNER PH.D.” Practice Location

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