Individual
DR. ZAINAB DELAWALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
125 CLAIREMONT AVE STE 510, DECATUR, GA 30030-2504
(404) 325-2400
Mailing address
121 WILTON DR, DECATUR, GA 30030-5101
(678) 471-2706
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY004156
GA
103TC0700X
Clinical Psychologist
Primary
PSY004156
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY004156
PSYCHOLOGY LICENSE
GA
Enumeration date
11/21/2017
Last updated
07/25/2019
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