Provider Demographics
NPI:1205057445
Name:RASHEED, SAKINAH Y (PHD, PSYD)
Entity type:Individual
Prefix:DR
First Name:SAKINAH
Middle Name:Y
Last Name:RASHEED
Suffix:
Gender:F
Credentials:PHD, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 ROSWELL RD
Mailing Address - Street 2:515
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-3682
Mailing Address - Country:US
Mailing Address - Phone:404-307-4780
Mailing Address - Fax:770-565-8149
Practice Address - Street 1:1568 CLOVERDALE DR SE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-7406
Practice Address - Country:US
Practice Address - Phone:404-307-4780
Practice Address - Fax:770-565-8149
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1347103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00416622FMedicaid
GA00416622DMedicaid