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MELVINA ALEXIS NORWOOD PH.D.

Clinical Child & Adolescent >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1598988040

Individual Registrant:
 MELVINA ALEXIS NORWOOD PH.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
110 EAGLES WALK STE. 100 STOCKBRIDGE, GA 30281-7204 US
Tel: 770-507-6044  Fax: 770-507-5284

Contact information for business:
4395 MEADOW VISTA DR  LITHONIA, GA 30038-7712 US
Tel: 770-507-6044  Fax: 770-507-5284

Registration Information:
NPI: 1598988040
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC2200XBehavioral Health & Social Service Providers
Psychologist
Clinical Child & Adolescent
GAPSY003038

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
155420049BGA05




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