NPI | 1639426729 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE BETHKE STOLL Clinical Psychologist 205-414-6686 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AL 1404) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AL 11211750) |
103K00000X Behavior Analyst (Licence: AL 1106821) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AL 1715) | |
Enumeration Date | 2012-08-08 |
Last Update Date | 2012-08-08 |