Individual
REBECCA SHEREE BODIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7125 UNIVERSITY CT, MONTGOMERY, AL 36117-8016
(334) 239-2622
(334) 625-7602
Mailing address
7125 UNIVERSITY CT, MONTGOMERY, AL 36117-8016
(334) 239-2622
(334) 625-7602
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2004
AL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2004
AL
Other
Enumeration date
03/22/2016
Last updated
12/31/2019
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