| NPI | 1831457878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA ANN RICHARDSON Psychologist 205-856-9041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AL 07238) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL 07238) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2012-04-27 |