Individual
DR. EMMA LEE PEDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
702 CARR CIR, HEADLAND, AL 36345-1916
(334) 718-7332
Mailing address
PO BOX 524, HEADLAND, AL 36345-0524
(334) 718-7332
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1856
AL
103T00000X
Psychologist
1856
AL
103TC0700X
Clinical Psychologist
1856
AL
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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