Individual
DR. FATIMA WASIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
555 SUN VALLEY DR STE G4, ROSWELL, GA 30076-5607
(678) 235-5054
(678) 810-0666
Mailing address
4470 MOSSBROOK CIR, ALPHARETTA, GA 30004-4475
(678) 313-2772
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY004097
GA
103TC1900X
Counseling Psychologist
Primary
PSY004097
GA
103TH0100X
Health Service Psychologist
4956
NC
Other
Enumeration date
09/01/2017
Last updated
01/26/2026
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