Individual
DERYKAH MONIQUE SALLAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3260 POINTE PKWY STE 40, PEACHTREE CORNERS, GA 30092-3330
(800) 398-2220
Mailing address
1266 ANGELIA DR SW, MABLETON, GA 30126-4808
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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