| 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 |