| Organization Name: | DR. WANDA D. HUGGET |
| NPI Number: | 1518223650 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WANDA D DENNIS HUGGET (CLINICAL PSYCHOLOGIST) |
| Mailing Address: | 700 Martin Luther King Jr Dr Fort Valley |
| State: | GA US |
| Postal Code: | 310304909 |
| Phone Number: | 4782168252 |
| Fax Number: | 4788450478 |
| NPI Enumeration Date: | 04/03/2012 |
| NPI Last Update Date: | 04/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY003531 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |