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Robert Wilson Deloatch IX
Military Health Care Provider in Atlanta, Georgia
NPI 1144347667

Robert Wilson Deloatch IX is a Military Health Care Provider based in Atlanta, GA. Robert Wilson Deloatch IX practices in Atlanta, GA. The NPI Number for Robert Wilson Deloatch IX is 1144347667 and holds a License No. 62419 (Georgia).

The current practice location address for Robert Wilson Deloatch IX is 5260 Campbellton Rd Sw, Atlanta, GA and can be reached out via phone at 404-349-3049 and via fax at 404-346-6141.

Location: 5260 Campbellton Rd Sw, Atlanta, GA, 30331-7712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144347667
Provider Name
Robert Wilson Deloatch IX
Credential
Provider Entity Type
Individual
Gender
Male
Address
5260 Campbellton Rd Sw, Atlanta, GA, 30331-7712
Phone Number
404-349-3049
Fax Number
404-346-6141
Provider Enumeration Date
03/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5260 Campbellton Rd Sw
City
Atlanta
State
Georgia
Zip
30331-7712
Phone Number
404-349-3049
Fax Number
404-346-6141
person
Provider Business Mailing Address Details
Address
5260 Campbellton Rd Sw
City
Atlanta
State
Georgia
Zip
30331-7712
Phone Number
404-349-3049
Fax Number
404-346-6141
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
62419 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical Child & Adolescent
Taxonomy
103TC2200X
License No.
62419 (Georgia)
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
62419 (Georgia)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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