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NPI Code Detail

MEDICARE: ALEADA TARVER PHD.

MEDICARE: ALEADA TARVER PHD.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist1436AL

General Provider Information

NPI Number : 1215111554
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEADA TARVER PHD.
Provider Business Mailing Address
First Line : 617 OLD STAGE RD
Second Line :
City : AUBURN
State : AL
Zip : 36830-4958
Country : US
Telephone Number : 334-887-2233
Fax Number : 334-887-2030
Provider Business Practice Location Address
First Line : 1784 ELKAHATCHEE RD
Second Line :
City : ALEXANDER CITY
State : AL
Zip : 35010-4800
Country : US
Telephone Number : 256-329-0868
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2007
Last Update Date : 03/08/2011

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