Lazarus, Gershom Theophilus

Lazarus, Gershom Theophilus is an sole proprietor health care provider with primary practice located at 36 Eagle Row , Atlanta GA 30322-0001. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Lazarus, Gershom Theophilus can be contacted via phone (910) 616-9657.

Contact Information

Primary practice address
36 Eagle Row Atlanta GA 30322-0001
Phone: (910) 616-9657
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY004440 Georgia
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY004440 Georgia

Profile Details

NPI number 1558952846
LBN Legal business name Lazarus, Gershom Theophilus
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2021
Last updated Jan 29th, 2021 - about 3 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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