Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY003016 | GA |
NPI | 1043439250 |
---|---|
Provider Name | Cindy Christine Schoell |
First Address | Atlanta, GA 30359-0726 |
Second Address | Decatur, GA 30030-1259 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2007 |
Last Update Date | 03/09/2007 |