Organization
DAVID C GHOSTLEY PSYD INC
Active
Parent organization
DAVID GHOSTLEY PSYD INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAVID GHOSTLEY PSYD INC
Authorized official
DAVID CARL GHOSTLEY PSY,D (OWNER)
(334) 699-1620
Entity
Organization
Contact information
Practice address
202 N BELL ST, DOTHAN, AL 36303-4310
(334) 699-1620
Mailing address
202 N BELL ST, DOTHAN, AL 36303-4310
(334) 699-1620
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1262
AL
Other
Enumeration date
06/09/2006
Last updated
08/19/2013
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