Organization
BROOKWOOD PSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL D MELVIN PHD (OWNER)
(205) 874-9805
Entity
Organization
Contact information
Practice address
3037 MASSEY RD, VESTAVIA, AL 35216-3603
(205) 874-9805
(205) 874-9806
Mailing address
3037 MASSEY RD, VESTAVIA, AL 35216-3603
(205) 874-9805
(205) 874-9806
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
799
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051099592
BLUE CROSS
AL
01
—
300177100
US DEPARTMENT OF LABOR
AL
01
—
S18031
UPIN
AL
Enumeration date
03/13/2008
Last updated
01/17/2018
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