| NPI | 1750707253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON DIANNE WALTZ Clinical Psychologist 205-503-1643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AL 1228) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2014-03-10 |