SearchGeorgiaClinical Psychologist

Tanja Ketisch

NPI 1568844835 · on the registry since 2015 · sole proprietor

Practice

Address
1160 Wing St
Atlanta, GA 30350
Phone
(404) 423-5410

Registry record

Primary taxonomy
Clinical Psychologist
103TC0700X
Also registered as
Clinical Psychologist
Licence states on file
AL, GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-01-04

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