Healthcare Provider Details

I. General information

NPI: 1437332236
Provider Name (Legal Business Name): ANGELA J ADAMS PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2007
Last Update Date: 12/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2702 11TH AVE N
BIRMINGHAM AL
35234-3202
US

IV. Provider business mailing address

PO BOX 170122
BIRMINGHAM AL
35217-0122
US

V. Phone/Fax

Practice location:
  • Phone: 205-910-2993
  • Fax:
Mailing address:
  • Phone: 205-910-2993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1117
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number1117
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number1117
License Number StateAL
# 4
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number1117
License Number StateAL
# 5
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number1117
License Number StateAL
# 6
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number1117
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: