Individual
WILLIAM B MENEESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1 W LAKESHORE DR, SUITE 201, BIRMINGHAM, AL 35209-0500
(205) 602-9980
(205) 592-8835
Mailing address
PO BOX 660685, BIRMINGHAM, AL 35266-0685
(205) 979-5882
(205) 979-1248
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
647
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000090974
—
AL
01
—
51090974
BCBS #
AL
Enumeration date
08/17/2006
Last updated
07/15/2011
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