Individual
STACY LEVIN LADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4 OFFICE PARK CIR STE 215A, MOUNTAIN BRK, AL 35223-2533
(205) 414-6686
Mailing address
4 OFFICE PARK CIR STE 215A, MOUNTAIN BRK, AL 35223-2533
(205) 414-6686
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1715
AL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
1715
AL
Other
Enumeration date
10/03/2011
Last updated
12/01/2012
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