Birmingham Anxiety And Trauma Therapy | |
3499 Independence Dr Suite 100 Birmingham AL 35209-5668 | |
(205) 807-5372 | |
(205) 413-8789 |
Full Name | Birmingham Anxiety And Trauma Therapy |
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Speciality | Psychologist |
Location | 3499 Independence Dr, Birmingham, Alabama |
Authorized Official Name and Position | Diana Lynn Paulk (PSYCHOLOGIST/OWNER) |
Authorized Official Contact | 2058075372 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Birmingham Anxiety And Trauma Therapy 3499 Independence Dr Suite 100 Birmingham AL 35209-5668 Ph: (205) 807-5372 | Birmingham Anxiety And Trauma Therapy 3499 Independence Dr Suite 100 Birmingham AL 35209-5668 Ph: (205) 807-5372 |
NPI Number | 1669752754 |
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Provider Enumeration Date | 08/22/2011 |
Last Update Date | 08/22/2011 |
Medicare PECOS PAC ID | 1557513546 |
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Medicare Enrollment ID | O20121221000311 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669752754 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 1326 (Alabama) | Primary |
Provider Name | Diana L Paulk |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1740406271 PECOS PAC ID: 6901058999 Enrollment ID: I20121221000339 |
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