Theodora Soublis is a Psychologist in Roswell, Georgia. Theodora Soublis practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Theodora Soublis is 1962672261. The last update date is 2009-05-27.
Theodora Soublis's current location address is 1101 Bombay Ln, Roswell, Georgia. You can contact this provider via phone number 7703624815. The mailing address for Theodora Soublis is 1101 Bombay Ln, Roswell, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodora Soublis |
|---|---|
| Address | 1101 Bombay Ln, Roswell, Georgia |
| Phone Number | 7703624815 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1962672261 |
|---|---|
| Provider Enumeration Date | 2008-03-03 |
| Last Updated Date | 2009-05-27 |
Provider Mailing Address Detail
| Address | 1101 Bombay Ln |
|---|---|
| City | Roswell |
| State | Georgia (GA) |
| Post Code | 300765832 |
| Phone Number | 7703624815 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY003155 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the Theodora Soublis's unique identification number?
The Theodora Soublis has been assigned the NPI (National Provider Identifier) Number 1962672261 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Theodora Soublis is physically located?
The Theodora Soublis is situated at the following address: 1101 Bombay Ln, Roswell, GA 300765832.
What is Theodora Soublis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Theodora Soublis is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did the Theodora Soublis receive the assignment of its 1962672261 from the Centers for Medicare & Medicaid Services?
The Theodora Soublis was issued its 1962672261 by the Centers for Medicare & Medicaid Services on 2008-03-03.
When was the information regarding Theodora Soublis most recently updated?
The details pertaining to the Theodora Soublis, including its address, specialty, and other relevant information, were last refreshed on 2009-05-27.
NPI Number: 1962405167
Address: 4230 Crums Mill Road, Harrisburg, PA