Soublis, Theodora

Soublis, Theodora is an sole proprietor health care provider with primary practice located at 1101 Bombay Ln , Roswell GA 30076-5832. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Soublis, Theodora can be contacted via phone (770) 362-4815.

Contact Information

Primary practice address
1101 Bombay Ln Roswell GA 30076-5832
Phone: (770) 362-4815
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY003155 Georgia

Profile Details

NPI number 1962672261
LBN Legal business name Soublis, Theodora
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2008
Last updated May 27th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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