Provider Demographics
NPI:1467823906
Name:CENTRAL ALABAMA PSYCHOLOGY, P. C.
Entity Type:Organization
Organization Name:CENTRAL ALABAMA PSYCHOLOGY, P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KALE
Authorized Official - Middle Name:EDNEY
Authorized Official - Last Name:KIRKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:334-819-4870
Mailing Address - Street 1:2571 BELL RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-4369
Mailing Address - Country:US
Mailing Address - Phone:334-819-4870
Mailing Address - Fax:334-819-4873
Practice Address - Street 1:2571 BELL RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-4369
Practice Address - Country:US
Practice Address - Phone:334-819-4870
Practice Address - Fax:334-819-4873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-09
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1714103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty