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General NPI Number Information
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NPI Number | 1164530895
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Entity Type | Organization
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Legal Business Name | RICHARDSON HALSEY & ASSOCIATES, INC
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 201 BEACON PKWY W STE 107
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City | BIRMINGHAM
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State | AL
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Zip | 35209-3129
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Country | US
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Telephone | 205-943-5588
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Fax | 205-943-5614
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Provider Business Mailing Address
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Address Line | 201 BEACON PKWY W STE 107
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City | BIRMINGHAM
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State | AL
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Zip | 35209-3129
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Country | US
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Telephone | 205-943-5588
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Fax | 205-943-5614
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | MR. LEROY RICHARDSON
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Credential | PSY.D.
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Telephone | 205-943-5588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 932
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License Number State | AL
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