| NPI | 1205904836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA RYAN Office Manager 205-945-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL 848) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-30 |