Provider Demographics
NPI:1508579483
Name:MERCEDES KAMERMAN PSYD LLC
Entity Type:Organization
Organization Name:MERCEDES KAMERMAN PSYD LLC
Other - Org Name:PSYCHOLOGICAL SERVICES OF NORTH GEORGIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MERCEDES
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:706-203-1503
Mailing Address - Street 1:1585 WYNTERCREEK CT
Mailing Address - Street 2:
Mailing Address - City:HOSCHTON
Mailing Address - State:GA
Mailing Address - Zip Code:30548-3660
Mailing Address - Country:US
Mailing Address - Phone:352-857-2741
Mailing Address - Fax:
Practice Address - Street 1:75 ELLIOTT RD STE 220
Practice Address - Street 2:
Practice Address - City:DAWSONVILLE
Practice Address - State:GA
Practice Address - Zip Code:30534-8904
Practice Address - Country:US
Practice Address - Phone:352-857-2741
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-05
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty