| NPI | 1558654293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND SIRMONS Board President 334-791-8156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL 847) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2011-05-26 |