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DOTHAN BEHAVIORAL MEDICINE CLINIC PC NPI 1336277540


NPI Information

NPI: 1336277540
Provider Name: DOTHAN BEHAVIORAL MEDICINE CLINIC PC
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

CLIA Number: 01D1025710

Address:
408 HEALTHWEST DR
DOTHAN, AL
ZIP 36303
Phone: (334) 702-7222
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DOTHAN BEHAVIORAL MEDICINE CLINIC PC is a child and adolescent psychiatry psychiatry neurology in Dothan, AL. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DOTHAN BEHAVIORAL MEDICINE CLINIC PC NPI is 1336277540. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

408 HEALTHWEST DR
DOTHAN, AL
ZIP 36303-054
Phone: (334) 702-7222
Fax: (334) 702-1944

The provider's authorized official is Tami Johson .
The authorized official title is Office Manager and has the following contact phone number (334) 702-7222.

The CLIA number assigned to this NPI record is 01D1025710 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 7/29/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry19943ALABAMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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