NPI 1639426729 · live from the CMS NPI Registry
Behavioral Pediatric Institute Of Alabama
Psychologist, Clinical Child & Adolescent in Mountain Brk, AL. National Provider Identifier 1639426729, active.
NPI record
| NPI | 1639426729 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical Child & Adolescent 103TC2200X |
| Practice location | 4 Office Park Cir Ste 215a, Mountain Brk, AL 35223 |
| Practice phone | 205-414-6686 |
| Enumerated | August 8, 2012 |
| Last updated | August 8, 2012 |
| Authorized official | Stephanie Stoll, Clinical Psychologist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | 11211750 (AL) |
| Behavior Analyst | 103K00000X | 1106821 (AL) |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | 1715 (AL) |
| Psychologist, Clinical Child & Adolescent primary | 103TC2200X | 1404 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.