Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 3392 | GA |
Y | 103TC0700X | Clinical Psychologist | 3392 | GA |
N | 103G00000X | Clinical Psychologist | 3392 | GA |
N | 103TC0700X | Clinical Psychologist | 3392 | GA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 3392 | GA |
NPI | 1134450729 |
---|---|
Provider Name | Dr. Rabia Subhani |
First Address | Columbus, GA 31904 |
Second Address | Columbus, GA 31904-2718 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2010 |
Last Update Date | 25/08/2021 |