Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 001818 | GA |
NPI | 1033282835 |
---|---|
Provider Name | Barbara Lattimore |
First Address | Lithonia, GA 30058-8214 |
Second Address | Atlanta, GA 30303-3536 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2006 |
Last Update Date | 08/07/2007 |