Organization
BEACON PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA RYAN (OFFICE MANAGER)
(205) 945-1550
Entity
Organization
Contact information
Practice address
600 BEACON PKWY W, SUITE 850, BIRMINGHAM, AL 35209-3120
(205) 945-1550
(205) 945-1260
Mailing address
600 BEACON PARKWAY WEST, SUITE 850, BIRMINGHAM, AL 35210
(205) 945-1550
(205) 945-1260
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
848
AL
Other
Enumeration date
12/01/2006
Last updated
07/30/2007
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