Organization Name: | ALABAMA PSYCHOLOGY, INC |
NPI Number: | 1992997878 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | OTTO J ARNOSCHT (OWNER) |
Mailing Address: | 2639 Gilmer Ave Tallassee |
State: | AL US |
Postal Code: | 360787231 |
Phone Number: | 3342833975 |
Fax Number: | |
NPI Enumeration Date: | 08/14/2007 |
NPI Last Update Date: | 05/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |