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NPI Code Detail

MEDICARE: MS. MARY ANN PLANT PHD

MEDICARE: MS. MARY ANN PLANT 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
1103T00000XPsychologist883AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
151506001OTHERALBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1629017132
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY ANN PLANT PHD
Provider Business Mailing Address
First Line : 6869 5TH AVENUE SOUTH
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35212-1866
Country : US
Telephone Number : 205-838-2031
Fax Number : 205-838-2031
Provider Business Practice Location Address
First Line : 6869 5TH AVENUE SOUTH
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35212-1866
Country : US
Telephone Number : 205-838-2031
Fax Number : 205-838-2031
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 07/08/2007

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Directions to “ MS. MARY ANN PLANT PHD” Practice Location

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