Stephanie L. Ezust, Ph.D., Pc

LBN: Stephanie L. Ezust, Ph.D., Pc
Stephanie L. Ezust, Ph.D., Pc is an health care organization with primary practice located at 1348 Ponce De Leon Ave Ne , Atlanta GA 30306-4604. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Stephanie L. Ezust, Ph.D., Pc can be contacted via phone (404) 371-9171, or through Ezust, Stephanie L. via phone (404) 371-9171.

Contact Information

Primary practice address
1348 Ponce De Leon Ave Ne Atlanta GA 30306-4604
Phone: (404) 371-9171
Fax: (404) 371-9172
Website:
Map and Directions
Authorized official contact:
Name: Ezust, Stephanie L. PH.D.
Phone: (404) 371-9171

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1513 Georgia

Profile Details

NPI number 1821212341
LBN Legal business name Stephanie L. Ezust, Ph.D., Pc
DBA Doing business as
Authorized official Ezust, Stephanie L. PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2007
Last updated Feb 27th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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