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NPI Code Detail

MEDICARE: DR. ALZELDA RICHARDSON PH.D.

MEDICARE: DR. ALZELDA RICHARDSON PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor2466AL

General Provider Information

NPI Number : 1144865460
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALZELDA RICHARDSON PH.D.
Provider Business Mailing Address
First Line : 2517 CENTER POINT PKWY
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35215-2548
Country : US
Telephone Number : 205-746-4601
Fax Number : 205-744-7204
Provider Business Practice Location Address
First Line : 2517 CENTER POINT PKWY
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35215-2548
Country : US
Telephone Number : 205-746-4601
Fax Number : 205-744-7204
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2019
Last Update Date : 11/11/2019

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