| NPI | 1184116444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA L ANSEL Clinical Psychologist 205-792-6917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MS 53926) |
| Enumeration Date | 2018-06-02 |
| Last Update Date | 2018-06-02 |