Individual
DR. LARRY HOUSTON DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
317
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00317
BROOKWOOD
AL
01
—
70554
BCBS
AL
01
—
70753
MCC
AL
Enumeration date
11/02/2006
Last updated
07/08/2007
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