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Individual

NAKIESHA COWAN-RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7027 OLD MADISON PIKE NW, SUITE 108, HUNTSVILLE, AL 35806-2368
(256) 924-7684
(256) 333-4628
Mailing address
7027 OLD MADISON PIKE NW, SUITE 108, HUNTSVILLE, AL 35806-2368
(256) 924-7684
(256) 333-4628

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1885
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
330000026
AL
01
51169381
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
Enumeration date
03/26/2014
Last updated
09/19/2016
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