NPI 1013281815

Libby Rose Tannenbaum, PHD

Practitioner Clinical Psychologist Decatur, GA

Practice location

Address: 2440 Lawrenceville Hwy Suite 200, Decatur, GA 30033-3266
Phone: (404) 634-3400
Fax: (404) 634-3482

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PSY002710 (GA)

Other Psychologist providers in Georgia →

Registry record

NPI: 1013281815
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Feb 2012
Record last updated: 27 Feb 2012

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.