Healthcare Provider Details

I. General information

NPI: 1568392777
Provider Name (Legal Business Name): KRISTINA BROOKE MCMAHAN-HARRIS PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTINA BROOKE MCMAHAN PH.D.

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 COUNTY ROAD 550
TRINITY AL
35673-4821
US

IV. Provider business mailing address

161 COUNTY ROAD 550
TRINITY AL
35673-4821
US

V. Phone/Fax

Practice location:
  • Phone: 256-566-4170
  • Fax:
Mailing address:
  • Phone: 256-566-4170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2458
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: