Associated Psychologists Llc | |
4146 Carmichael Ct Montgomery AL 36106-2871 | |
(334) 409-0210 | |
(334) 409-0250 |
Full Name | Associated Psychologists Llc |
---|---|
Speciality | Psychologist |
Location | 4146 Carmichael Ct, Montgomery, Alabama |
Authorized Official Name and Position | Marnie S Dillon (OWNER) |
Authorized Official Contact | 3344090210 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Associated Psychologists Llc 4146 Carmichael Ct Montgomery AL 36106-2871 Ph: (334) 409-0210 | Associated Psychologists Llc 4146 Carmichael Ct Montgomery AL 36106-2871 Ph: (334) 409-0210 |
NPI Number | 1275641888 |
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Provider Enumeration Date | 08/25/2006 |
Last Update Date | 03/12/2024 |
Certification Date | 03/12/2024 |
Medicare PECOS PAC ID | 6204876394 |
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Medicare Enrollment ID | O20050509000330 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275641888 | NPI | - | NPPES |
1225093891 | Other | AL | NPI, DCC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 1076 (Alabama) | Primary |
Provider Name | Marnie S Dillon |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1801851464 PECOS PAC ID: 7012957103 Enrollment ID: I20050509000493 |
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