| Ua Autism Spectrum Disorder Clinic | |
|
651 5th Ave E Cdrd Room 262 Tuscaloosa AL 35401-7424 | |
| (205) 348-3130 | |
| (205) 348-7216 |
| Full Name | Ua Autism Spectrum Disorder Clinic |
|---|---|
| Speciality | Psychologist |
| Location | 651 5th Ave E, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Michelle Hawthorne (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2053481262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ua Autism Spectrum Disorder Clinic Po Box 870360 Tuscaloosa AL 35487-0360 Ph: (205) 348-3130 | Ua Autism Spectrum Disorder Clinic 651 5th Ave E Cdrd Room 262 Tuscaloosa AL 35401-7424 Ph: (205) 348-3130 |
| NPI Number | 1265736888 |
|---|---|
| Provider Enumeration Date | 12/23/2010 |
| Last Update Date | 12/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265736888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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