| Organization Name: | NANCY GUP AND ASSOCIATES, INC. |
| NPI Number: | 1003078569 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NANCY JANE GUP (LICENSED PSYCHOLOGIST/OWNER) |
| Mailing Address: | 2885 Payton Rd Ne Atlanta |
| State: | GA US |
| Postal Code: | 303452600 |
| Phone Number: | 4046340014 |
| Fax Number: | 4047280043 |
| NPI Enumeration Date: | 06/26/2008 |
| NPI Last Update Date: | 06/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2414 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |