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NPI Code Detail

MEDICARE: LENORA J. ENIX, PSY.D., PC

MEDICARE: LENORA J. ENIX, PSY.D., PC
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
1103TC0700XClinical Psychologist923AL

General Provider Information

NPI Number : 1952495095
Entity Type Code : Organization
Provider Name (Legal Business Name) : LENORA J. ENIX, PSY.D., PC
Provider Business Mailing Address
First Line : 2700 CORPORATE DR STE 200
Second Line : SUITE C
City : BIRMINGHAM
State : AL
Zip : 35242-2733
Country : US
Telephone Number : 205-314-4760
Fax Number : 205-208-0147
Provider Business Practice Location Address
First Line : 2700 CORPORATE DR STE 200
Second Line : SUITE C
City : BIRMINGHAM
State : AL
Zip : 35242-2733
Country : US
Telephone Number : 205-314-4760
Fax Number : 205-208-0147
Authorized Official
Title or Position : OWNER
Name : DR. LENORA JUANITA ENIX
Credential : PSY.D.
Telephone Number : 205-874-6901
Provider Enumeration Date : 10/03/2006
Last Update Date : 04/10/2017

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