Provider Demographics
NPI:1801842588
Name:LAW, JOSEPH GILLESPIE JR (MS EDD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:GILLESPIE
Last Name:LAW
Suffix:JR
Gender:M
Credentials:MS EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:605 BEL AIR BLVD
Mailing Address - Street 2:SUITE 24
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36606-3514
Mailing Address - Country:US
Mailing Address - Phone:251-450-0000
Mailing Address - Fax:866-267-9054
Practice Address - Street 1:605 BEL AIR BLVD
Practice Address - Street 2:SUITE 24
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-3514
Practice Address - Country:US
Practice Address - Phone:251-450-0000
Practice Address - Fax:866-267-9054
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLMH4029101YM0800X
AL345101YP2500X
TN1064103TR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation