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GOVE HILL MEMORIAL HOSPITAL INC NPI 1497989370


NPI Information

NPI: 1497989370
Provider Name: GOVE HILL MEMORIAL HOSPITAL, INC

Doing Business As: SOUTHERN OAK PSYC CLINIC

Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
295 SOUTH JACKSON STREET
GROVE HILL, AL
ZIP 36451
Phone: (251) 275-3191
Get Directions

GOVE HILL MEMORIAL HOSPITAL, INC is a clinical neuropsychologist in Grove Hill, AL. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. GOVE HILL MEMORIAL HOSPITAL, INC NPI is 1497989370. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Southern Oak Psyc Clinic.

The provider's business location address is:

295 SOUTH JACKSON STREET
GROVE HILL, AL
ZIP 36451-935
Phone: (251) 275-3191
Fax: (251) 275-4281

The provider's authorized official is Cornelia P Overstreet .
The authorized official title is Insurance Manager and has the following contact phone number (251) 275-4043.

The enumeration date for this NPI number is 5/7/2009 and was last updated on 6/21/2018.


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
1103G00000XClinical NeuropsychologistALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========MEDICAIDALABAMA

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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