Individual
DEANNE J TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
300 S TWINING ST, BLDG 760, 42D MEDICAL GROUP, MONTGOMERY, AL 36112
(404) 323-0733
Mailing address
300 S TWINING ST, BLDG 760, 42D MEDICAL GROUP, MONTGOMERY, AL 36112
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC4712
GA
103T00000X
Psychologist
PSY2456
GA
103TC1900X
Counseling Psychologist
Primary
2102
AL
Other
Enumeration date
06/29/2009
Last updated
03/19/2019
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