Most Relevant Information
Provider Data
| NPI Number: | 1003822073 |
| Provider Name: | JEFFREY JOHN PIPE PSYD |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | PSY002399 |
Most Important Dates
| Enumeration Date: | 07/31/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
127 CHURCH ST NE
SUITE 350
MARIETTA
GA
300608637
Practice Location Phone/Fax
| Phone: | 7704258275 |
| Fax: | 7704258276 |
Provider Mailing Location
127 CHURCH ST NE
SUITE 350
MARIETTA
GA
300608637
Provider Mailing Phone/Fax
| Phone: | 7704258275 |
| Fax: | 7704258276 |