MEDICARE: FELICIA HOUSTON PHD

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
1	103T00000X	Psychologist	1227	AL

General Provider Information

NPI Number	:	1174794143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FELICIA HOUSTON PHD

Provider Business Mailing Address
First Line	:	1 PERIMETER PARK S
Second Line	:	SUITE 100 NORTH
City	:	BIRMINGHAM
State	:	AL
Zip	:	35243-2327
Country	:	US
Telephone Number	:	205-861-0594
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 PERIMETER PARK S
Second Line	:	SUITE 100 N
City	:	BIRMINGHAM
State	:	AL
Zip	:	35243-2327
Country	:	US
Telephone Number	:	205-861-0594
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2008
Last Update Date	:	01/27/2016

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Directions to “ FELICIA HOUSTON PHD” Practice Location

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