Provider Demographics
NPI:1316105661
Name:SONYA B. ROWLAND, PH.D CONSULTING AND PSYCHOLOGICAL SERVICES
Entity type:Organization
Organization Name:SONYA B. ROWLAND, PH.D CONSULTING AND PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:B
Authorized Official - Last Name:ROWLAND
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:678-575-3550
Mailing Address - Street 1:PO BOX 2334
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30031-2334
Mailing Address - Country:US
Mailing Address - Phone:678-575-3550
Mailing Address - Fax:404-297-4002
Practice Address - Street 1:1008 MAIN ST
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30083-2944
Practice Address - Country:US
Practice Address - Phone:678-575-3550
Practice Address - Fax:404-297-4002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2124103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00763166BMedicaid