Provider Demographics
NPI:1275641888
Name:ASSOCIATED PSYCHOLOGISTS LLC
Entity Type:Organization
Organization Name:ASSOCIATED PSYCHOLOGISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARNIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:DILLON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:334-409-0210
Mailing Address - Street 1:4146 CARMICHAEL CT
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-2871
Mailing Address - Country:US
Mailing Address - Phone:334-409-0210
Mailing Address - Fax:334-409-0250
Practice Address - Street 1:4146 CARMICHAEL CT
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-2871
Practice Address - Country:US
Practice Address - Phone:334-409-0210
Practice Address - Fax:334-409-0250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1076103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1225093891OtherNPI, DCC