Individual
DR. TABITHA AILLENE GRESSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
557 GLOVER AVE., SUITE 3, ENTERPRISE, AL 36330-2070
(334) 489-4448
(334) 347-2919
Mailing address
557 GLOVER AVE., SUITE 3, ENTERPRISE, AL 36330-2070
(334) 489-4448
(334) 347-2919
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1725
AL
Other
Enumeration date
12/02/2011
Last updated
11/24/2014
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