NPI 1497196109

Diane L Hollander, PSYDBCBAD

Practitioner Clinical Child & Adolescent Psychologist Canton, GA

Practice location

Address: 140 E Marietta St, Canton, GA 30114-3013
Phone: (770) 213-3594
Fax: (770) 213-3595

Registered specialties (2)

Clinical Child & Adolescent Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC2200X Licence PSY003735 (GA)

Other Psychologist providers in Georgia →

Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Registry record

NPI: 1497196109
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jul 2013
Record last updated: 1 Nov 2013

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.