Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | PSY001117 | GA |
NPI | 1083837827 |
---|---|
Provider Name | Dr. Jeri Breiner |
First Address | Atlanta, GA 30328-5387 |
Second Address | Atlanta, GA 30328-4008 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 26/10/2010 |