Individual
RAJLAXSHMI PHOHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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
893
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051550210
—
AL
01
—
680013658
R/R GROUP
—
Enumeration date
09/13/2006
Last updated
01/09/2019
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