Doctor Name: | DR. BEVERLY BELL-SHAMBLEY |
NPI Number: | 1003903725 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 493 |
Business Practice Address: | 2301 14th St Tuscaloosa, AL - 354012929 |
Business Phone Number: | 2057527010 |
Business Fax Number: | |
Mailing Address: | 2501 Lakewood Cir, TUSCALOOSA |
State: | AL |
Postal Code: | 354055409 |
Phone Number: | 2056333855 |
Fax Number: | |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 493 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |