Healthcare Provider Details

I. General information

NPI: 1396795753
Provider Name (Legal Business Name): MAURA P CARTER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 CORPORATE DRIVE GRAYSON & ASSOCIATES PC SUITE 125
BIRMINGHAM AL
35242
US

IV. Provider business mailing address

1200 CORPORATE DRIVE GRAYSON & ASSOCIATES PC SUITE 125
BIRMINGHAM AL
35242
US

V. Phone/Fax

Practice location:
  • Phone: 205-329-7992
  • Fax: 205-329-7999
Mailing address:
  • Phone: 205-329-7992
  • Fax: 205-329-7999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number666
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number666
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: