Provider Demographics
NPI:1629383799
Name:PAPAZOGLOU, AIMILIA (PHD)
Entity Type:Individual
Prefix:
First Name:AIMILIA
Middle Name:
Last Name:PAPAZOGLOU
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:PAPAZOGLOU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:5825 GLENRIDGE DR STE 1-133
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-7144
Mailing Address - Country:US
Mailing Address - Phone:470-728-5778
Mailing Address - Fax:
Practice Address - Street 1:5825 GLENRIDGE DR STE 1-133
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-7144
Practice Address - Country:US
Practice Address - Phone:470-728-5778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-13
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist