Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MADINAH IKHLAS RALSTON, PH.D.

Active Sole Proprietor

DR. MADINAH IKHLAS RALSTON, PH.D. is a Clinical Psychologist healthcare provider located in COLLEGE PARK, Georgia. NPI 1528289436 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · COLLEGE PARK, GA

Registration Details

NPI Number: 1528289436
Provider Type: Individual
Gender: Female
NPI Issued: May 1, 2007 (19.255183930232 yrs)
Last Updated: Jul 8, 2007
License: PSY003079 (GA)
Sole Proprietor: Yes

Practice Information

Address: 1631 PHOENIX BLVD

SUITE 5

COLLEGE PARK, GA, 303495545
Browse GA providers · Browse ZIP 30349
Phone: 7709096550
Fax: 7709096551
Primary Specialty: Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in COLLEGE PARK, GA

Name	Credential	NPI
DR. JAMES BEAUMONT	PSYD	1801806484
MELANIE M ECHOLS	PH.D.	1043353915
JEREMY CADE SHIVER	PSY.D.	1780059261

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.