Organization Name: | INNERACTION PSYCHOLOGICAL ASSOCIATES, P.C. |
NPI Number: | 1093766719 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERESSA F. HAEGER (OWNER) |
Mailing Address: | 81 Crown Mountain Pl Suite C200 Dahlonega |
State: | GA US |
Postal Code: | 305331627 |
Phone Number: | 7068640186 |
Fax Number: | 7068640963 |
NPI Enumeration Date: | 05/15/2006 |
NPI Last Update Date: | 05/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY000773 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |