Mobile Psychological, Llc | |
2411 Old Shell Rd Mobile AL 36607-3019 | |
(251) 479-8677 | |
(251) 478-8097 |
Full Name | Mobile Psychological, Llc |
---|---|
Speciality | Psychologist - Clinical |
Location | 2411 Old Shell Rd, Mobile, Alabama |
Authorized Official Name and Position | Daniel L Koch (OWNER) |
Authorized Official Contact | 2514798677 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mobile Psychological, Llc 2411 Old Shell Rd Mobile AL 36607-3019 Ph: (251) 479-8677 | Mobile Psychological, Llc 2411 Old Shell Rd Mobile AL 36607-3019 Ph: (251) 479-8677 |
NPI Number | 1992965313 |
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Provider Enumeration Date | 06/10/2008 |
Last Update Date | 06/10/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992965313 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 198 (Alabama) | Primary |
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