| Southern Oak Psyc Clinic | |
|
295 South Jackson Street Grove Hill AL 36451-0935 | |
| (251) 275-3191 | |
| (251) 275-4281 |
| Full Name | Southern Oak Psyc Clinic |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 295 South Jackson Street, Grove Hill, Alabama |
| Authorized Official Name and Position | Cornelia P Overstreet (INSURANCE MANAGER) |
| Authorized Official Contact | 2512754043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Oak Psyc Clinic P O Box 935 Grove Hill AL 36451-0935 Ph: (251) 275-3191 | Southern Oak Psyc Clinic 295 South Jackson Street Grove Hill AL 36451-0935 Ph: (251) 275-3191 |
| NPI Number | 1497989370 |
|---|---|
| Provider Enumeration Date | 05/07/2009 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497989370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (Alabama) | Primary |
Southwest Alabama Mental Health/mental Retardation Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 129 Clark St, Grove Hill, AL 36451 Phone: 251-275-4165 | |
Southern Oaks Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 295 S Jackson St, Grove Hill, AL 36451 Phone: 251-275-3191 Fax: 251-275-4281 |