Gwendolyn J Childs, M.A., PSY.D. Valid NPI
Individual provider · Clinical Psychologist · Stone Mountain, GA
- NPI
- 1639235799
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Psychologist (Psychologist)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103TC0700X
- License number
- PSY001808 (GA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2006-12-30
- Last updated
- 2007-07-09
Practice location
1012 Main St
Stone Mountain, GA 30083-2944
(770) 498-2865