Provider Demographics
NPI:1912876111
Name:QIN, QINXIN (PSYD)
Entity type:Individual
Prefix:DR
First Name:QINXIN
Middle Name:
Last Name:QIN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:JENNY
Other - Middle Name:
Other - Last Name:QIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:5121 CORNERS DR
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-4339
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5121 CORNERS DR
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-4339
Practice Address - Country:US
Practice Address - Phone:919-744-9983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-04
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY004491103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical