Individual
DR. BARRY L FUNKHOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 ANDREWS AVENUE, FORT RUCKER, AL 36362
(334) 255-7387
(334) 255-7716
Mailing address
117 VIXEN CT, DOTHAN, AL 36305-9353
(334) 699-8516
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
928
AL
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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