NPI 1003320888
Divine Psychology, LLC
Practice location
- Address
- 4343 Shallowford Rd STE G3, Marietta, GA 30062-5021
- Phone
- (678) 626-7207
- Mailing address
- 2960 Silverplume Dr, Fort Collins, CO 80526-2488
Authorised official
- Name
- Sara Velez
- Title
- Clinical Psychologist & Owner
- Phone
- (678) 626-7207
Registered specialties (4)
Clinical Psychologist
Primary
Cognitive & Behavioral Psychologist
Health Psychologist
Rehabilitation Psychologist
Registry record
- NPI
- 1003320888
- Entity type
- Organization
- NPI issued
- 1 Dec 2017
- Record last updated
- 28 May 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.