Doctor Name: | DR. KATRYNA R KING-ADAMS |
NPI Number: | 1215239793 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | N/A |
Business Practice Address: | 104 Bullock Dr Union Springs, AL - 36084 |
Business Phone Number: | 3347385685 |
Business Fax Number: | |
Mailing Address: | 2600 Vaughn Lakes Blvd Apt 1325, MONTGOMERY |
State: | AL |
Postal Code: | 361174628 |
Phone Number: | 3342351189 |
Fax Number: | |
NPI Enumeration Date: | 12/03/2010 |
NPI Last Update Date: | 12/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | N/A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |