Wall, Alysa Gredel
Wall, Alysa Gredel is an individual health care provider with primary practice located at 1276 Mcconnell Dr Suite C, Decatur GA 30033-3508. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Wall, Alysa Gredel can be contacted via phone (404) 929-9009.Contact Information
Primary practice address
1276 Mcconnell Dr Suite C
Decatur GA 30033-3508
Phone: (404) 929-9009
Fax: (404) 929-9005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PS-P000213 | Georgia |
Profile Details
| NPI number | 1881997468 |
|---|---|
| LBN Legal business name | Wall, Alysa Gredel |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2010 |
| Last updated | Dec 21st, 2010 - about 14 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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