Individual
DR. JOANNA T KOULIANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
22 N FLORIDA ST, MOBILE, AL 36607-3108
(251) 654-2429
(251) 470-0409
Mailing address
1956 S UNIVERSITY BLVD STE J, PMB 196, MOBILE, AL 36609-2928
(251) 654-2429
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1453
AL
103TC0700X
Clinical Psychologist
Primary
1453
AL
103TC2200X
Clinical Child & Adolescent Psychologist
1453
AL
Other
Enumeration date
01/21/2008
Last updated
09/05/2013
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