| NPI | 1164530895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEROY RICHARDSON Psychologist 205-943-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL 932) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-22 |