Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 00851 | GA |
Y | 103TC0700X | Clinical Psychologist | 00851 | GA |
NPI | 1003016684 |
---|---|
Provider Name | Dr. Ralph Norman Allsopp |
First Address | Atlanta, GA 30327-4861 |
Second Address | Atlanta, GA 30327-4861 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2007 |
Last Update Date | 20/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00277582A | (05) | GA |