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NPI Code Detail

MEDICARE: PSYCHOLOGY, CONSULTING, & EVALUATIONS, LLC

MEDICARE: PSYCHOLOGY, CONSULTING, & EVALUATIONS, LLC
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
1251S00000XCommunity/Behavioral Health Agency1853AL

General Provider Information

NPI Number : 1720494438
Entity Type Code : Organization
Provider Name (Legal Business Name) : PSYCHOLOGY, CONSULTING, & EVALUATIONS, LLC
Provider Business Mailing Address
First Line : PO BOX 922
Second Line :
City : GADSDEN
State : AL
Zip : 35902-0922
Country : US
Telephone Number : 205-903-4371
Fax Number :
Provider Business Practice Location Address
First Line : 105 CHURCH ST
Second Line : SUITE B, OFFICE 4
City : RAINBOW CITY
State : AL
Zip : 35906-6242
Country : US
Telephone Number : 205-903-4371
Fax Number :
Authorized Official
Title or Position : LICENSED PSYCHOLOGIST & OWNER
Name : DR. ASHLEY B HAMPTON
Credential : PHD
Telephone Number : 205-903-4371
Provider Enumeration Date : 07/02/2014
Last Update Date : 07/02/2014

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Directions to “PSYCHOLOGY, CONSULTING, & EVALUATIONS, LLC ” Practice Location

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