LARONTA RUSH, PH.D.
Psychologist - Clinical Child & Adolescent
Active
Individual
NPI: 1356419790
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist | 103T00000X | No | 003025 (GA) |
| Psychologist - School | 103TS0200X | No | 003025 (GA) |
| Psychologist - Clinical Child & Adolescent | 103TC2200X | Yes | 003025 (GA) |
Frequently Asked Questions
NPI 1356419790 is the National Provider Identifier for LARONTA RUSH, PH.D., a Psychologist - Clinical Child & Adolescent provider located in Tucker, GA. This NPI was enumerated on December 2, 2006.
LARONTA RUSH, PH.D. practices at 3760 LAVISTA RD STE 102, Tucker, GA 30084.
Quick Facts
- NPI
- 1356419790
- Type
- Individual
- Enumerated
- Dec 2, 2006
- Last Updated
- Aug 14, 2024
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