MEDICARE: DR. CLAIRE MOORE LANKFORD 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	103TC0700X	Clinical Psychologist	2401	AL
2	103T00000X	Psychologist	2401	AL

General Provider Information

NPI Number	:	1609672443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLAIRE MOORE LANKFORD PHD

Provider Business Mailing Address
First Line	:	3437 OAKDALE DR
Second Line	:
City	:	VESTAVIA
State	:	AL
Zip	:	35223-2209
Country	:	US
Telephone Number	:	256-794-4197
Fax Number	:

Provider Business Practice Location Address
First Line	:	3437 OAKDALE DR
Second Line	:
City	:	VESTAVIA
State	:	AL
Zip	:	35223-2209
Country	:	US
Telephone Number	:	256-794-4197
Fax Number	:

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

Provider Enumeration Date	:	02/21/2025
Last Update Date	:	08/06/2025

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