MEDICARE: BAIR PEACOCK MCDONALD MCMULLAN & BELL PC

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
1	103TC0700X	Clinical Psychologist	1202	AL

General Provider Information

NPI Number	:	1417139726
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAIR PEACOCK MCDONALD MCMULLAN & BELL PC

Provider Business Mailing Address
First Line	:	400 VESTAVIA PKWY
Second Line	:	SUITE 101
City	:	BIRMINGHAM
State	:	AL
Zip	:	35216-3763
Country	:	US
Telephone Number	:	205-822-7348
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 VESTAVIA PKWY
Second Line	:	SUITE 101
City	:	BIRMINGHAM
State	:	AL
Zip	:	35216-3763
Country	:	US
Telephone Number	:	205-822-7348
Fax Number	:	205-822-7297

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	DR. HANNAH PRICE
Credential	:	PH.D
Telephone Number	:	205-822-7348

Provider Enumeration Date	:	11/28/2007
Last Update Date	:	12/19/2024

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