Grapenthin, Lucinda Taylor

Grapenthin, Lucinda Taylor is an sole proprietor health care provider with primary practice located at 10475 Medlock Bridge Rd Building 300 Suite 315, Duluth GA 30097-2002. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Grapenthin, Lucinda Taylor can be contacted via phone (404) 433-7363.

Contact Information

Primary practice address
10475 Medlock Bridge Rd Building 300 Suite 315 Duluth GA 30097-2002
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 2289 Georgia

Profile Details

NPI number 1992868335
LBN Legal business name Grapenthin, Lucinda Taylor
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992868335 NPPES
Georgia MEDICAID 00922556A

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