Doctor Name: | DR. HEATHER CHELSEY FUTRAL |
NPI Number: | 1487954384 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | PSY003418 |
Business Practice Address: | 4073 Highway 53 Hoschton, GA - 305482305 |
Business Phone Number: | 7708825884 |
Business Fax Number: | 7066580116 |
Mailing Address: | 4073 Highway 53, HOSCHTON |
State: | GA |
Postal Code: | 305482305 |
Phone Number: | 7708825884 |
Fax Number: | 7066580116 |
NPI Enumeration Date: | 10/25/2010 |
NPI Last Update Date: | 07/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY003418 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |