Organization Name: | GOVE HILL MEMORIAL HOSPITAL, INC |
NPI Number: | 1497989370 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CORNELIA P OVERSTREET (INSURANCE MANAGER) |
Mailing Address: | 295 South Jackson Street Grove Hill |
State: | AL US |
Postal Code: | 364510935 |
Phone Number: | 2512753191 |
Fax Number: | 2512754281 |
NPI Enumeration Date: | 05/07/2009 |
NPI Last Update Date: | 09/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |