Brock, Ann Lorene

Brock, Ann Lorene is an individual health care provider with primary practice located at 6315 Garden Walk Blvd , Riverdale GA 30274-2628. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Brock, Ann Lorene can be contacted via phone (770) 991-7420.

Contact Information

Primary practice address
6315 Garden Walk Blvd Riverdale GA 30274-2628
Phone: (770) 991-7420
Fax: (770) 991-7429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY002481 Georgia

Profile Details

NPI number 1659415917
LBN Legal business name Brock, Ann Lorene
Credentials PSY. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2007
Last updated Jul 8th, 2007 - about 19 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.

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