Individual
BASIL ALRAFATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
315 BOULEVARD NE STE 520, ATLANTA, GA 30312-1266
(404) 476-3535
Mailing address
315 BOULEVARD NE STE 520, ATLANTA, GA 30312-1266
(478) 960-8298
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY004735
GA
103TB0200X
Cognitive & Behavioral Psychologist
PSY004735
GA
103TC0700X
Clinical Psychologist
PSY004735
GA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY004735
GA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PSY004735
GA
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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