Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 2652 | CA |
NPI | 1013581578 |
---|---|
Provider Name | Pola Galan Morrison |
First Address | Woodstock, GA 30188-5600 |
Second Address | Woodstock, GA 30188-5600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2021 |
Last Update Date | 18/05/2021 |