Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | ||
N | 103T00000X | Psychologist | ||
N | 103TC2200X | Clinical Child & Adolescent Psychologist | ||
Y | 103TM1800X | Intellectual & Developmental Disabilities | PSY003549 | GA |
NPI | 1104299643 |
---|---|
Provider Name | Catherine Elizabeth Rice |
First Address | Decatur, GA 30033-4607 |
Second Address | Decatur, GA 30033-4607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2015 |
Last Update Date | 05/11/2015 |