Individual
DR. MITCHELL GLEN BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D, PSYCHOLOGIST
Contact information
Practice address
661 HELEN KELLER BLVD, TUSCALOOSA, AL 35404-2963
(205) 344-6169
Mailing address
661 HELEN KELLER BLVD, TUSCALOOSA, AL 35404-2963
(205) 344-6169
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2103
AL
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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