Provider Demographics
NPI:1932243334
Name:AATRE-PRASHAR, GEETA K (PSYD)
Entity Type:Individual
Prefix:DR
First Name:GEETA
Middle Name:K
Last Name:AATRE-PRASHAR
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 ATLANTA HWY STE 202
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-1251
Mailing Address - Country:US
Mailing Address - Phone:470-326-7332
Mailing Address - Fax:770-953-4640
Practice Address - Street 1:2450 ATLANTA HWY STE 202
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-1251
Practice Address - Country:US
Practice Address - Phone:470-326-7332
Practice Address - Fax:770-953-4640
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-18
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOPL0364103TB0200X
GAPSY004370103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral