MEDICARE: BARRY L ADAMS PSYD

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	103TC0700X	Clinical Psychologist	877	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356424238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARRY L ADAMS PSYD

Provider Business Mailing Address
First Line	:	3 OFFICE PARK CIR STE 115
Second Line	:
City	:	MOUNTAIN BRK
State	:	AL
Zip	:	35223-2534
Country	:	US
Telephone Number	:	205-912-2000
Fax Number	:	205-945-1890

Provider Business Practice Location Address
First Line	:	3 OFFICE PARK CIR STE 115
Second Line	:
City	:	MOUNTAIN BRK
State	:	AL
Zip	:	35223-2534
Country	:	US
Telephone Number	:	205-912-2000
Fax Number	:	205-945-1890

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

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	07/21/2022

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