Organization
BODENHEIMER PSYCHOLOGICAL & COUNSELING CENTER LLC
Active
Other names
Lucile Bodenheimer
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCILE BODENHEIMER PSYD (LICENSED CLINICAL PSYCHOLGIST OWNER)
(256) 236-0070
Entity
Organization
Contact information
Practice address
1523 LEIGHTON AVE, ANNISTON, AL 36207-3828
(256) 236-0070
(256) 237-0079
Mailing address
PO BOX 952, ANNISTON, AL 36202-0952
(256) 236-0070
(256) 237-0079
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
978
AL
Other
Enumeration date
02/02/2006
Last updated
08/29/2007
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