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WELLSTAR NEUROPSYCHOLOGY, LLC
NPI 1083880744
Clinical Neuropsychologist in Marietta, GA

Active since May 02, 2008
677 CHURCH ST NE, MARIETTA, GA 30060(770) 793-6695(770) 793-7997 Get Directions Write a Review

NPPES record last updated: February 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wellstar Neuropsychology, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLSTAR NEUROPSYCHOLOGY, LLC (NPI 1083880744) is a healthcare organization registered as a clinical neuropsychologist in Marietta, Georgia and active in the NPI registry since May 2008. The organization lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1083880744
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameWELLSTAR NEUROPSYCHOLOGY, LLC
Location Address677 CHURCH ST NEMarietta, GA 30060-1101
Mailing Address677 Church St NeMarietta, GA 30060-1101 · (770) 793-6695 · Fax (770) 793-7997
Phone(770) 793-6695
Fax(770) 793-7997
Organization SubpartNo
Authorized OfficialNicole AsheExecutive Director Of Finance · (770) 792-5261
Enumeration DateMay 2, 2008
Last NPPES UpdateFebruary 24, 2020
✔ NPI 1083880744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
677 CHURCH ST NE, Marietta, GA 30060
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILLIAN MARIE BLALOCK DO
Emergency Medicine
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000
JAMIN GRAHAM MD
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000
SAUMYA GURBANI MD, PHD
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE, ATTN: GME
MARIETTA, GA 30060
Cobb County (770) 793-7742
DR. HALEY PUCKETT LAWHORN MD
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000
MRS. RHONDA KIM LEE NP-C
Registered Nurse (Wound Care)
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-7173
DEVIN HORTON CRNA
Nurse Anesthetist, Certified Registered
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 794-0477
BRITNEY ELIZABETH BECKETT
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000
MS. EVELYN KAY HALE RN
Registered Nurse
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-9560

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wellstar Neuropsychology, LLC's NPI number?

The NPI number for Wellstar Neuropsychology, LLC is 1083880744. It was assigned to this organization in the NPPES registry on May 2, 2008.

Where is Wellstar Neuropsychology, LLC located?

Wellstar Neuropsychology, LLC is located at 677 Church St NE, Marietta, GA 30060. The listed phone number is (770) 793-6695.

What is Wellstar Neuropsychology, LLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Wellstar Neuropsychology, LLC was last updated on February 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.