Provider Demographics
NPI:1427782416
Name:ATANASOVA, GALYA R (PAYD)
Entity type:Individual
Prefix:DR
First Name:GALYA
Middle Name:R
Last Name:ATANASOVA
Suffix:
Gender:F
Credentials:PAYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 AL. STAMBOLIISKI BUL
Mailing Address - Street 2:APT 4
Mailing Address - City:PLOVDIV
Mailing Address - State:PLOVDIV
Mailing Address - Zip Code:004004
Mailing Address - Country:BG
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1887 38TH AVE APT A
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-4147
Practice Address - Country:US
Practice Address - Phone:857-271-6831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11837103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical