Individual
DR. ELLEN LOUISE SPENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2117 16TH AVE S, BIRMINGHAM, AL 35205-5060
(205) 933-9155
(205) 933-9155
Mailing address
1041 31ST ST S, BIRMINGHAM, AL 35205-1107
(205) 930-0475
(205) 930-0475
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
754
AL
Other
Enumeration date
02/05/2007
Last updated
07/09/2007
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