Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 1347 | GA |
NPI | 1205057445 |
---|---|
Provider Name | Dr. Sakinah Y. Rasheed |
First Address | Marietta, GA 30062-3682 |
Second Address | Marietta, GA 30067-7406 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00416622D | (05) | GA |
00416622F | (05) | GA |