Individual
JERRY LEE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
701 UNIVERSITY BLVD E, SUITE 204, TUSCALOOSA, AL 35401-2086
(205) 556-7145
(205) 553-9127
Mailing address
701 UNIVERSITY BLVD E, SUITE 204, TUSCALOOSA, AL 35401-2086
(205) 556-7145
(205) 553-9127
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
306
AL
Other
Enumeration date
09/01/2006
Last updated
10/27/2008
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