Organization
INSYNCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND SIRMONS (BOARD PRESIDENT)
(334) 791-8156
Entity
Organization
Contact information
Practice address
338 HAWRIDGE RD, OZARK, AL 36360-7323
(334) 791-8156
Mailing address
338 HAWRIDGE RD, OZARK, AL 36360-7323
(334) 791-8156
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
847
AL
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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