Provider Demographics
NPI:1346429933
Name:A.L. TARVER, PSYCHOLOGICAL CONSULTANTS, LLC
Entity Type:Organization
Organization Name:A.L. TARVER, PSYCHOLOGICAL CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ALEADA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE-TARVER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:334-887-2233
Mailing Address - Street 1:617 OLD STAGE RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-4958
Mailing Address - Country:US
Mailing Address - Phone:334-887-2233
Mailing Address - Fax:334-887-2030
Practice Address - Street 1:617 OLD STAGE RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-4958
Practice Address - Country:US
Practice Address - Phone:334-887-2233
Practice Address - Fax:334-887-2030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-31
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1436103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty