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Individual

DELISA ARLINDA WEST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
817 PRINCETON AVE SW STE 115, BIRMINGHAM, AL 35211-1340
(205) 453-9888
(205) 453-0003
Mailing address
817 PRINCETON AVE SW STE 115, BIRMINGHAM, AL 35211-1340
(205) 453-9888
(205) 453-0003

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1342
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051526133
BLUE CROSS
AL
01
051534516
BC FEDERAL EHBP
AL
01
890012990
MEDICARE
AL
05
890012990
AL
Enumeration date
07/26/2006
Last updated
02/18/2016
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