Individual
MICHAEL J MUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD PSYCHOLOGY
Contact information
Practice address
200 UNIVERSITY BLVD, TUSCALOOSA, AL 35402-1231
(205) 759-0904
(205) 759-0931
Mailing address
PO BOX 21231, 200 UNIVERITY BLVD, TUSCALOOSA, AL 35402-1231
(205) 759-0904
(205) 759-0931
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
201
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00237319
RAILROAD
—
Enumeration date
09/12/2006
Last updated
07/08/2007
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