| NPI | 1669752754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA LYNN PAULK Psychologist/Owner 205-807-5372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AL 1326) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-08-22 |