NPI | 1902280126 |
---|---|
Entity Type | Organization |
Authorized Contact | AMBER ELIZABETH DOUGLAS Licensed Psychologist 334-734-2603 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL AL1749) |
Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: AL AL1749) |
Enumeration Date | 2015-07-17 |
Last Update Date | 2015-07-17 |