Organization
DR TOM CONBOY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JOSEPH CONBOY PH.D. (PRESIDENT)
(205) 821-1607
Entity
Organization
Contact information
Practice address
1200 14TH ST, SUITE A, PHENIX CITY, AL 36867-4907
(205) 821-1607
Mailing address
1200 14TH ST, SUITE A, PHENIX CITY, AL 36867-4907
(205) 821-1607
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
555
AL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
555
AL
Other
Enumeration date
05/06/2014
Last updated
05/14/2014
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