NPI 1336304799

L G D Psychological Services, LLC

Organisation Adult Care Home Facility Stone Mountain, GA

Practice location

Address: 5438 Redwood CT, Stone Mountain, GA 30087-5758
Phone: (770) 469-6794

Authorised official

Name: Linda Gail Dennard
Title: P:resident
Phone: (770) 469-6794

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Georgia →

Registry record

NPI: 1336304799
Entity type: Organization
NPI issued: 25 Jul 2008
Record last updated: 25 Jul 2008

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.