MEDICARE: DR. STEVEN LOWELL BAIR PSY.D.

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	254	AL

General Provider Information

NPI Number	:	1902981285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN LOWELL BAIR PSY.D.

Provider Business Mailing Address
First Line	:	300 VESTAVIA PKWY
Second Line	:	SUITE 3200
City	:	BIRMINGHAM
State	:	AL
Zip	:	35216-7714
Country	:	US
Telephone Number	:	205-822-7348
Fax Number	:	205-822-7297

Provider Business Practice Location Address
First Line	:	A300 VESTAVIA PKWY
Second Line	:	SUITE 3200
City	:	BIRMINGHAM
State	:	AL
Zip	:	35216-7714
Country	:	US
Telephone Number	:	205-822-7348
Fax Number	:	205-822-7297

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

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	07/08/2007

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