Healthcare Provider Details

I. General information

NPI: 1265635460
Provider Name (Legal Business Name): BARRY ADAMS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 OFFICE PARK CIR STE 115
MOUNTAIN BRK AL
35223-2534
US

IV. Provider business mailing address

3 OFFICE PARK CIR STE 115
MOUNTAIN BRK AL
35223-2534
US

V. Phone/Fax

Practice location:
  • Phone: 205-912-2000
  • Fax: 205-945-1890
Mailing address:
  • Phone: 205-912-2000
  • Fax: 205-945-1890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: BARRY L ADAMS
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PSYD
Phone: 205-912-2000