Individual
DR. OLIVIA SUBRAMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3073 PANTHERSVILLE RD, DECATUR, GA 30034-3828
(404) 243-2100
Mailing address
811 JUNIPER ST NE APT 1405, ATLANTA, GA 30308-2154
(920) 312-4251
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY004527
GA
Other
Enumeration date
05/04/2019
Last updated
03/31/2022
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