Whalio Doctors

NPI 1114085743

Sweetwater Psychological Associates, LLC

Organisation Clinical Psychologist Marietta, GA

Practice location

Address
2625 Sandy Plains Rd STE 202 Secondary Location, Marietta, GA 30066-4291
Phone
(770) 732-0983
Fax
(770) 732-1283
Mailing address
PO Box 1078, Lithia Springs, GA 30122-1078

Authorised official

Name
David Clyde Martin
Title
Owner/Partner
Phone
(770) 732-0982

Registered specialties (3)

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PSY001373 (GA)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PSY001157 (GA)
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence CSW000729 (GA)

Registry record

NPI
1114085743
Entity type
Organization
NPI issued
5 Dec 2006
Record last updated
10 Aug 2007

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.