Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Gershom Theophilus Lazarus, PHD

Individual provider Clinical Neuropsychologist · NPI 1558952846

Dr. Gershom Theophilus Lazarus, PHD is a Clinical Neuropsychologist in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

36 Eagle Row
Atlanta, GA 30322-0001
Phone: (910) 616-9657
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY004440 (GA)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence PSY004440 (GA)

Record details

NPI number1558952846
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 29, 2021
Last updated in NPPESJanuary 29, 2021
Certification dateJanuary 29, 2021

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