Individual
BARBARA NISSENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2109 DARLINGTON ST, BIRMINGHAM, AL 35226-3007
(205) 837-7950
Mailing address
1475 BADHAM DR, VESTAVIA, AL 35216-2941
(205) 837-7950
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1653
AL
103TC0700X
Clinical Psychologist
Primary
1653
AL
Other
Enumeration date
08/23/2010
Last updated
02/22/2011
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