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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REBECCA S BLAKEMAN, PHD

Active Sole Proprietor

REBECCA S BLAKEMAN, PHD is a Child, Clinical Psychologist healthcare provider located in DOUGLASVILLE, Georgia. NPI 1679729412 is currently active in the NPPES registry. Verify at CMS.

Child, Clinical Psychologist · DOUGLASVILLE, GA

Registration Details

NPI Number
1679729412
Provider Type
Individual
Gender
Female
NPI Issued
Aug 12, 2008 (18.035252592175 yrs)
Last Updated
Jul 2, 2021
License
002757 (GA)
Sole Proprietor
Yes

Practice Information

Address
5833 STEWART PKWY STE 203
DOUGLASVILLE, GA, 301356934
Browse GA providers · Browse ZIP 30135
Phone
4043101161
Primary Specialty
Child, Clinical Psychologist
103TC2200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.