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Organization
BEHAVIORAL PEDIATRIC INSTITUTE OF ALABAMA
Active
Organization
BEHAVIORAL PEDIATRIC INSTITUTE OF ALABAMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE BETHKE STOLL PH.D. (CLINICAL PSYCHOLOGIST)
(205) 414-6686
Entity
Organization
Contact information
Practice address
4 OFFICE PARK CIR STE 215A, MOUNTAIN BRK, AL 35223-2533
(205) 414-6686
Mailing address
4 OFFICE PARK CIR STE 215A, MOUNTAIN BRK, AL 35223-2533
(205) 414-6686
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1106821
AL
103K00000X
Behavior Analyst
11211750
AL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
1404
AL
103TC2200X
Clinical Child & Adolescent Psychologist
1715
AL
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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