Search › Georgia › 103T00000X
Theodora Soublis, PH.D
NPI 1962672261 · on the registry since 2008 · sole proprietor
Practice
- Address
- 1101 Bombay Ln
Roswell, GA 30076 - Phone
- (770) 362-4815
- Organisation at this address
- Safeway Behavioral Health - Southeast, P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-05-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia