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Dr. Willie F Ausborn, PSYD
Clinical Psychologist in Tucker, Georgia
NPI 1366596025

Willie F Ausborn is a Clinical Psychologist based in Tucker, GA and is specialized in Clinical. Willie F Ausborn practices in Tucker, GA and has the professional credentials of PSYD. The NPI Number for Willie F Ausborn is 1366596025 and holds a License No. 2449 (Georgia).

The current practice location address for Willie F Ausborn is 4500 Hugh Howell Rd, Tucker, GA and can be reached out via phone at 770-938-4616 and via fax at 770-938-4615.

Location: 4500 Hugh Howell Rd, Tucker, GA, 30084-4723
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366596025
Provider Name
Willie F Ausborn
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
4500 Hugh Howell Rd, Tucker, GA, 30084-4723
Phone Number
770-938-4616
Fax Number
770-938-4615
Provider Enumeration Date
01/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A3022 01 GA KAISER
01000298 01 GA AMERIGROUP
000885629A 01 GA CENPATICO
000885629A 05 GA
001346 01 GA BLUECROSS BLUESHIELD
33-1078488 01 GA NORTHLAKE MEDICAL RESEARC
institution
Provider Business Practice Location Address Details
Address
4500 Hugh Howell Rd
City
Tucker
State
Georgia
Zip
30084-4723
Phone Number
770-938-4616
Fax Number
770-938-4615
person
Provider Business Mailing Address Details
Address
4500 Hugh Howell Rd
City
Tucker
State
Georgia
Zip
30084-4723
Phone Number
770-938-4616
Fax Number
770-938-4615
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
2449 (Georgia)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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