Individual
WILLIAM MACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
100 MEMORIAL HOSPITAL DR STE 2A, MOBILE, AL 36608-1199
(251) 344-2762
(251) 344-5492
Mailing address
100 MEMORIAL HOSPITAL DR STE 2A, MOBILE, AL 36608-1199
(251) 344-2762
(251) 344-5492
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
413
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-08719
BLUE CROSS PROVIDER#
AL
Enumeration date
07/12/2006
Last updated
07/12/2007
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