Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Willie F Ausborn, PSYD

Individual provider Clinical Psychologist · NPI 1366596025

Dr. Willie F Ausborn, PSYD is a Clinical Psychologist in Tucker, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

4500 Hugh Howell Rd Ste 740
Tucker, GA 30084-4723
Phone: (770) 938-4616
Fax: (770) 938-4615
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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 2449 (GA)

Record details

NPI number1366596025
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJanuary 22, 2007
Last updated in NPPESSeptember 2, 2009

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