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915 Willowbrook Dr Se Suite C Huntsville AL 35802-3262 | |
| (256) 882-2004 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 915 Willowbrook Dr Se, Huntsville, Alabama |
| Authorized Official Name and Position | James Preston Gardepe (OWNER) |
| Authorized Official Contact | 2568822004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
915 Willowbrook Dr Se Suite C Huntsville AL 35802-3262 Ph: (256) 882-2004 | 915 Willowbrook Dr Se Suite C Huntsville AL 35802-3262 Ph: (256) 882-2004 |
| NPI Number | 1275701955 |
|---|---|
| Provider Enumeration Date | 02/14/2008 |
| Last Update Date | 06/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275701955 | NPI | - | NPPES |
| 51074448GAR | Other | AL | BC/BS OF ALABAMA |
| 529400650 | Medicaid | AL |
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