DR. Madinah Ikhlas Ralston, PH.D.
NPI #1528289436 in College Park, Georgia
Provider Information
- NPI Number
- 1528289436
- Entity Type
- Individual
- Name
- DR. Madinah Ikhlas Ralston, PH.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- PH.D.
- Enumeration Date
- May 1, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1631 PHOENIX BLVD
- Address 2
- SUITE 5
- City
- College Park
- State
- Georgia
- ZIP Code
- 30349-5545
- Phone
- (770) 909-6550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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