| NPI | 1912073354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD EDISON BETH Psychologist 205-995-1129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: AL 07004036) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2009-09-24 |