Individual
DR. KATIE C LEWALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
250 CHATEAU DR SW STE 145, HUNTSVILLE, AL 35801-6437
(256) 801-8937
(256) 517-8355
Mailing address
250 CHATEAU DR SW STE 145, HUNTSVILLE, AL 35801-6437
(256) 801-8937
(256) 517-8355
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1662
AL
103TC0700X
Clinical Psychologist
1662
AL
Other
Enumeration date
05/14/2013
Last updated
03/17/2018
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