Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Stephanie L. Ezust, PHD

Individual provider Psychologist · NPI 1164589156

Dr. Stephanie L. Ezust, PHD is a Clinical Psychologist in Decatur, Georgia. Qualified in 1990, 36 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
36
Licensed in
GA
In the registry since
2007
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

317 W Hill St Ste 101
Decatur, GA 30030-4319
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

Psychologist (primary) Taxonomy 103T00000X · Licence 1513 (GA)

Record details

NPI number1164589156
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJanuary 2, 2007
Last updated in NPPESSeptember 27, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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