Individual
GLADYS OLUWATOYIN AYODELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MANAGER
Contact information
Practice address
225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 01752-5900
(857) 214-5461
Mailing address
1570 SMITHSON DR, LITHONIA, GA 30058-6193
(678) 462-8103
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106S00000X
—
GA
Enumeration date
07/22/2021
Last updated
07/22/2021
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