| NPI | 1578818597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN F. MCMATH Sole Proprietor 205-310-4497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AL 1489) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2013-06-24 |