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

STEPHANIE L. EZUST, PH.D., PC

Active Organization

STEPHANIE L. EZUST, PH.D., PC is a Clinical Psychologist organization located in ATLANTA, Georgia. NPI 1821212341 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · ATLANTA, GA

Registration Details

NPI Number
1821212341
Provider Type
Organization
NPI Issued
Apr 13, 2007 (19.323170727777 yrs)
Last Updated
Feb 27, 2020
License
1513 (GA)

Practice Information

Address
1348 PONCE DE LEON AVE NE
ATLANTA, GA, 303064604
Browse GA providers · Browse ZIP 30306
Phone
4043719171
Fax
4043719172
Primary Specialty
Clinical Psychologist
103TC0700X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.