| Lenora J. Enix, Psy.d., Pc | |
|
2700 Corporate Dr Ste 200 Suite C Birmingham AL 35242-2733 | |
| (205) 314-4760 | |
| (205) 208-0147 |
| Full Name | Lenora J. Enix, Psy.d., Pc |
|---|---|
| Speciality | Psychologist |
| Location | 2700 Corporate Dr Ste 200, Birmingham, Alabama |
| Authorized Official Name and Position | Lenora Juanita Enix (OWNER) |
| Authorized Official Contact | 2058746901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lenora J. Enix, Psy.d., Pc 2700 Corporate Dr Ste 200 Suite C Birmingham AL 35242-2733 Ph: (205) 314-4760 | Lenora J. Enix, Psy.d., Pc 2700 Corporate Dr Ste 200 Suite C Birmingham AL 35242-2733 Ph: (205) 314-4760 |
| NPI Number | 1952495095 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 04/10/2017 |
| Medicare PECOS PAC ID | 3779542832 |
|---|---|
| Medicare Enrollment ID | O20041005001176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952495095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 923 (Alabama) | Primary |
| Provider Name | Lenora Enix |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295707495 PECOS PAC ID: 8921067497 Enrollment ID: I20041011000206 |
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