NPI 1114251188

Roswell Psychiatric Services, PC

Organisation Child & Adolescent Psychiatry Physician Roswell, GA

Practice location

Address: 77 E Crossville Rd STE. 206, Roswell, GA 30075-5815
Phone: (770) 552-4655
Fax: (770) 552-4282
Mailing address: PO Box 1988, Roswell, GA 30077-1988

Authorised official

Name: Consuelo Reddick
Title: Owner
Phone: (770) 552-4655

Registered specialties (2)

Child & Adolescent Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0804X Licence 044067 (GA)

Other Psychiatry & Neurology providers in Georgia →

Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 044067 (GA)

Registry record

NPI: 1114251188
Entity type: Organization
NPI issued: 24 Sep 2009
Record last updated: 24 Sep 2009

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.