Individual
TRESA L ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH D
Contact information
Practice address
130 WESLIN COVE DR, MADISON, AL 35757-8704
(256) 503-0856
Mailing address
130 WESLIN COVE DR, MADISON, AL 35757-8704
(256) 503-0856
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1443
AL
Other
Enumeration date
08/10/2007
Last updated
03/13/2015
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