Individual
DR. DAVID CARL GHOSTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY, D
Contact information
Practice address
202 N BELL ST, DOTHAN, AL 36303-4310
(334) 699-1620
(334) 699-1649
Mailing address
202 N BELL ST, DOTHAN, AL 36303-4310
(334) 699-1620
(334) 699-1649
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1262
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009934545
—
AL
Enumeration date
05/30/2006
Last updated
08/19/2013
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