Doctor Name: | MS. FOROOGH ELGUINDI |
NPI Number: | 1356509376 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | 2536 |
Business Practice Address: | 5123 Daniell Mill Road Winston, GA - 301871362 |
Business Phone Number: | 7707575309 |
Business Fax Number: | 7704890406 |
Mailing Address: | 5123 Daniell Mill Rd, WINSTON |
State: | GA |
Postal Code: | 301871362 |
Phone Number: | 7707575309 |
Fax Number: | 7704890406 |
NPI Enumeration Date: | 05/27/2008 |
NPI Last Update Date: | 05/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2536 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |