Individual
BRIAN THOMAS UPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6341 PICCADILLY SQUARE DR, MOBILE, AL 36609-5103
(251) 343-5300
Mailing address
1204 BELLE CHENE DR, MOBILE, AL 36693-4511
(251) 490-1982
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2052
AL
Other
Enumeration date
09/24/2017
Last updated
09/24/2017
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