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Individual

DANA R BUSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
150 GLENWOOD LN, BIRMINGHAM, AL 35242-5700
(205) 969-2880
Mailing address
PO BOX 381146, C/O KENNETH BUSH, BIRMINGHAM, AL 35238-1146

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1169
AL

Other

Enumeration date
04/03/2013
Last updated
04/03/2013
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