Organization
MICHELE KING, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELE MARIE KING PH.D. (PRESIDENT)
(334) 821-1822
Entity
Organization
Contact information
Practice address
703 E GLENN AVE, AUBURN, AL 36830-5016
(334) 821-1822
(334) 821-1822
Mailing address
703 EAST GLENN AVENUE, AUBURN, AL 36830-5016
(334) 821-1822
(334) 821-1822
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051099555
051099555
AL
01
—
051515491
051515491
AL
Enumeration date
12/15/2006
Last updated
02/28/2011
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