Individual
DR. HEATHER AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
400 VESTAVIA PKWY STE 130, VESTAVIA, AL 35216-3750
(205) 823-2373
(205) 823-2378
Mailing address
4001 8TH CT S, BIRMINGHAM, AL 35222-3616
(205) 223-3080
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1360
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101801
—
AL
01
—
1063525517
TRICARE SOUTH
AL
01
—
515-33657
BCBS
AL
01
—
515-90549
FEDERAL BC
AL
01
—
515-90550
FEDERAL BC
AL
05
—
890017030
—
AL
Enumeration date
08/17/2006
Last updated
09/10/2019
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