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STEPHANIE L. EZUST, PH.D., PC
NPI 1821212341
Psychologist - Clinical in Atlanta, GA

Active since April 13, 2007
1348 PONCE DE LEON AVE NE, ATLANTA, GA 30306(404) 371-9171(404) 371-9172 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stephanie L. Ezust, Ph.d., Pc NPPES

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

STEPHANIE L. EZUST, PH.D., PC (NPI 1821212341) is a healthcare organization registered as a clinical in Atlanta, Georgia and active in the NPI registry since April 2007. The organization lists Stephanie L. Ezust, Owner, as its authorized official.

NPPES Registry Identity

NPI1821212341
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSTEPHANIE L. EZUST, PH.D., PC
Location Address1348 PONCE DE LEON AVE NEAtlanta, GA 30306-4604
Mailing AddressPo Box 1192Decatur, GA 30031-1192 · (404) 371-9171 · Fax (404) 371-9172
Phone(404) 371-9171
Fax(404) 371-9172
Organization SubpartNo
Authorized OfficialStephanie L. EzustOwner · (404) 371-9171
Enumeration DateApril 13, 2007
Last NPPES UpdateFebruary 27, 2020
✔ NPI 1821212341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in GA · 1513
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1348 PONCE DE LEON AVE NE, Atlanta, GA 30306
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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

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

DR. CHARLES PETE WILLIAMS LPC
Counselor (Professional)
1348 PONCE DE LEON AVE NE
ATLANTA, GA 30306
Fulton County (404) 687-8559

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 Stephanie L. Ezust, Ph.D., PC's NPI number?

The NPI number for Stephanie L. Ezust, Ph.D., PC is 1821212341. It was assigned to this organization in the NPPES registry on April 13, 2007.

Where is Stephanie L. Ezust, Ph.D., PC located?

Stephanie L. Ezust, Ph.D., PC is located at 1348 Ponce De Leon Ave NE, Atlanta, GA 30306. The listed phone number is (404) 371-9171.

What is Stephanie L. Ezust, Ph.D., PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Stephanie L. Ezust, Ph.D., PC was last updated on February 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.