| NPI | 1265736888 |
|---|---|
| Doing Business As | UA AUTISM SPECTRUM DISORDER CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHELLE HAWTHORNE Credentialing Coordinator 205-348-1262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2010-12-23 |