Individual
DR. LUCILE BODENHEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1523 LEIGHTON AVE, ANNISTON, AL 36207-3828
(256) 236-0070
(256) 237-0079
Mailing address
PO BOX 952, ANNISTON, AL 36202-0952
(256) 236-0070
(256) 237-0079
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
978
AL
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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