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Organization

ANTONIO PSYCHOLOGY SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREA M ANTONIO PSY.D. (MANAGER/OWNER)
(205) 612-0707
Entity
Organization

Contact information

Practice address
3516 VANN RD, SUITE 104-B, BIRMINGHAM, AL 35235-3275
(205) 612-0707
Mailing address
3516 VANN RD, SUITE 104-B, BIRMINGHAM, AL 35235-3275
(205) 612-0707

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1707
AL

Other

Enumeration date
09/13/2013
Last updated
09/13/2013
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