Individual
DR. IFETAYO I. OJELADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1867 HARVARD AVE, COLLEGE PARK, GA 30337-3526
(404) 635-6021
(404) 601-7347
Mailing address
505 ANGLER CT SW, ATLANTA, GA 30331-8058
(404) 635-6021
(404) 601-7347
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC004532
GA
103TC1900X
Counseling Psychologist
Primary
PSY003437
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
708181433A
—
GA
Enumeration date
10/02/2006
Last updated
02/27/2013
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