SearchGeorgiaClinical Psychologist

Mikle South, PHD

NPI 1306198262 · on the registry since 2012 · sole proprietor

Practice

Address
1551 Shoup Ct
Decatur, GA 30033
Phone
(404) 727-8350
Organisation at this address
Eac Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
Clinical Psychologist
103TC0700X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-02-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia