Afton Lavallee
Psychologist Clinical Psychologist Clinical Child & Adolescent Psychologist
8615 Anchor On Lanier Ct
Gainesville
, Georgia 30506-6785
Afton Lavallee
Psychologist Clinical Psychologist Clinical Child & Adolescent Psychologist
8615 Anchor On Lanier Ct
Gainesville
, Georgia 30506-6785
(770) 995-1959
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About
Features
Specialties
- Psychologist
- Clinical Psychologist
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Afton Lavallee
- 8615 Anchor On Lanier Ct
- Gainesville, GA
- Zip : 30506-6785
- Fax : (770) 995-1959
- Phone : (770) 534-9000
Second Address
- Afton Lavallee
- 8615 Anchor On Lanier Ct
- Gainesville, GA
- Zip : 30506-6785
- Fax : (770) 995-1959
- Phone : (770) 534-9100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | PSY001728 | GA |
| N | 103T00000X | Psychologist | PSY001728 | GA |
| Y | 103G00000X | Clinical Psychologist | PSY001728 | GA |
| Y | 103TC0700X | Clinical Psychologist | PSY001728 | GA |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist |
National Provider Identifier
| NPI | 1023021987 |
|---|---|
| Provider Name | Afton Lavallee |
| First Address | Gainesville, GA 30506-6785 |
| Second Address | Gainesville, GA 30506-6785 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/08/2006 |
| Last Update Date | 09/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000546334A | (05) | GA |
| 332060 | PHCS IND. PROVIDER NUM (01) | GA |
| IP118074 | MAGELLAN IND. NUM (01) | GA |
| PV138448 | APS HC IND. PROVIDER NUM (01) | GA |
| S62970 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.