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Latisha Rachelle Brown
Health Service Psychologist in Marietta, Georgia
NPI 1528703980

Latisha Rachelle Brown is a Health Service Psychologist based in Marietta, GA and is specialized in Health Service. Latisha Rachelle Brown practices in Marietta, GA. The NPI Number for Latisha Rachelle Brown is 1528703980 and holds a License No. (Georgia).

The current practice location address for Latisha Rachelle Brown is 370 Fenbrook Way Sw # 30064, Marietta, GA and can be reached out via phone at 425-465-8440. You can also correspond with Latisha Rachelle Brown through the mailing address at 370 FENBROOK WAY SW, MARIETTA, GA - 30064-1680 (mailing address contact number: 425-465-8440).

Location: 370 Fenbrook Way Sw # 30064, Marietta, GA, 30064-1680
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528703980
Provider Name
Latisha Rachelle Brown
Credential
Provider Entity Type
Individual
Gender
Female
Address
370 Fenbrook Way Sw # 30064, Marietta, GA, 30064-1680
Phone Number
425-465-8440
Fax Number
Provider Enumeration Date
04/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
370 Fenbrook Way Sw # 30064
City
Marietta
State
Georgia
Zip
30064-1680
Phone Number
425-465-8440
Fax Number
person
Provider Business Mailing Address Details
Address
370 Fenbrook Way Sw # 30064
City
Marietta
State
Georgia
Zip
30064-1680
Phone Number
425-465-8440
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
()
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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