Search › Georgia › 103T00000X
Latasha Stanback, PHD
NPI 1063988814 · on the registry since 2018
Practice
- Address
- 4177 Rainbow Dr
Decatur, GA 30034 - Phone
- (404) 542-6331
- Clinicians at this address
- 13
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
- 2025-07-07
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