NPI 1073928669

Jaclyn Peters, PHD

Practitioner Psychologist Athens, GA

Practice location

Address: 1090 Founders Blvd Suite B, Athens, GA 30606-6163
Phone: (706) 548-8697
Fax: (706) 548-8698

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence PSY003796 (GA)

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Registry record

NPI: 1073928669
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jun 2014
Record last updated: 23 Jun 2014

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.