Provider Demographics
NPI:1851026629
Name:DULEY, SAVANNA RAE SABLICH (PHD)
Entity Type:Individual
Prefix:
First Name:SAVANNA
Middle Name:RAE SABLICH
Last Name:DULEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6667 VERNON WOODS DR STE A20
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-3238
Mailing Address - Country:US
Mailing Address - Phone:404-390-1322
Mailing Address - Fax:
Practice Address - Street 1:6667 VERNON WOODS DR STE A20
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-3238
Practice Address - Country:US
Practice Address - Phone:404-390-1322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-18
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA004612103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist