| NPI | 1972575272 |
|---|---|
| Former Legal Business Name | LUCILE BODENHEIMER |
| Entity Type | Organization |
| Authorized Contact | LUCILE BODENHEIMER Licensed Clinical Psycholgist Owner 256-236-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL 978) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2007-08-29 |