Stephanie L. Ezust, Ph D , PC
Stephanie L. Ezust, Ph D , PC is a Clinical Psychologist in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2007.
- Licensed in
- GA
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1348 Ponce De Leon Ave NEAtlanta, GA 30306-4604
Phone: (404) 371-9171
Fax: (404) 371-9172
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence 1513 (GA) |
|---|
Record details
| NPI number | 1821212341 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stephanie Ezust — Owner · (404) 371-9171 |
| NPI enumerated | April 13, 2007 |
| Last updated in NPPES | February 27, 2020 |
| Certification date | February 27, 2020 |
| Mailing address | Po Box 1192, Decatur, GA 30031-1192 |
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