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NPI Code Detail

MEDICARE: REBECCA SHEREE BODIFORD PHD

MEDICARE: REBECCA SHEREE BODIFORD 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
1103TC2200XClinical Child & Adolescent Psychologist2004AL
2103TC0700XClinical Psychologist2004AL

General Provider Information

NPI Number : 1831551621
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA SHEREE BODIFORD PHD
Provider Business Mailing Address
First Line : 6001 CRESTWOOD BLVD
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35212-4203
Country : US
Telephone Number : 205-316-9939
Fax Number : 205-961-3007
Provider Business Practice Location Address
First Line : 6001 CRESTWOOD BLVD
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35212-4203
Country : US
Telephone Number : 205-316-9939
Fax Number : 205-961-3007
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2016
Last Update Date : 06/04/2026

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Directions to “ REBECCA SHEREE BODIFORD PHD” Practice Location

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