Auerbach, Vivian Sue
Auerbach, Vivian Sue is an sole proprietor health care provider with primary practice located at 1439 Mclendon Dr Ste D , Decatur GA 30033-1841. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Auerbach, Vivian Sue can be contacted via phone (404) 982-0222.Contact Information
Primary practice address
1439 Mclendon Dr Ste D
Decatur GA 30033-1841
Phone: (404) 982-0222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 000953 | Georgia |
Profile Details
| NPI number | 1770648552 |
|---|---|
| LBN Legal business name | Auerbach, Vivian Sue |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770648552 | NPPES |
| Georgia | MEDICAID | 00309658B |
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