Organization
CHILD & ADOLESCENT PSYCHOLOGICAL SERVICES OF INVERNESS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DAVID FETTER PH.D. (OWNER/PRESIDENT)
(205) 981-1330
Entity
Organization
Contact information
Practice address
4898 VALLEYDALE RD, SUITE A1, BIRMINGHAM, AL 35242-4654
(205) 981-1330
(205) 981-1390
Mailing address
4898 VALLEYDALE RD, SUITE A1, BIRMINGHAM, AL 35242-4654
(205) 981-1330
(205) 981-1390
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
1077
AL
Other
Enumeration date
08/28/2006
Last updated
08/24/2011
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