Provider Demographics
NPI:1659692002
Name:PERIMETER PSYCHOLOGY, LLC
Entity Type:Organization
Organization Name:PERIMETER PSYCHOLOGY, LLC
Other - Org Name:PERIMETER PSYCHOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF MANAGEMENT OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:CECILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS-BINDER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:770-778-7275
Mailing Address - Street 1:4100 PACES WALK SE
Mailing Address - Street 2:# 1308
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-1803
Mailing Address - Country:US
Mailing Address - Phone:770-778-7275
Mailing Address - Fax:404-256-2795
Practice Address - Street 1:5775 PEACHTREE DUNWOODY RD NE
Practice Address - Street 2:BUILDING C, SUITE 200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1556
Practice Address - Country:US
Practice Address - Phone:404-943-9226
Practice Address - Fax:404-256-2795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-21
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty