Provider Demographics
NPI:1396076972
Name:TURNER, MATTHEW D (PHD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:D
Last Name:TURNER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3949 HOLCOMB BRIDGE RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-2294
Mailing Address - Country:US
Mailing Address - Phone:678-524-6005
Mailing Address - Fax:
Practice Address - Street 1:3949 HOLCOMB BRIDGE RD
Practice Address - Street 2:SUITE 202
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-2294
Practice Address - Country:US
Practice Address - Phone:678-524-6005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-21
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA3312103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist