Individual
LEE HALE MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
200 UNIVERSITY BLVD, BRYCE HOSPITAL, TUSCALOOSA, AL 35401-1250
(205) 759-0799
(205) 759-0845
Mailing address
200 UNIVERSITY BLVD, TUSCALOOSA, AL 35401-1250
(205) 759-0799
(205) 759-0845
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
454
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51073602MAL
BCBS
—
Enumeration date
09/13/2006
Last updated
07/08/2007
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