Individual
SARA RACHEL DECKELBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4939 LOWER ROSWELL RD, SUITE B-202, MARIETTA, GA 30068-4338
(770) 971-3303
(770) 971-3314
Mailing address
4939 LOWER ROSWELL RD, SUITE B-202, MARIETTA, GA 30068-4338
(770) 971-3303
(770) 971-3314
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003522
GA
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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