Organization
CENTER FOR PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY TRAYNOR M.D. (OWNER)
(256) 582-8833
Entity
Organization
Contact information
Practice address
1510 GUNTER AVE, GUNTERSVILLE, AL 35976-1848
(256) 582-8833
(256) 582-8335
Mailing address
PO BOX 959, GUNTERSVILLE, AL 35976-0959
(256) 582-8833
(256) 582-8335
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1457C
AL
2084P0800X
Psychiatry Physician
Primary
4019
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529801490
—
AL
Enumeration date
11/29/2006
Last updated
08/27/2008
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