Provider Demographics
NPI:1942921358
Name:PSYCHOLOGICAL CONSULTANTS
Entity Type:Organization
Organization Name:PSYCHOLOGICAL CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGUERITE
Authorized Official - Middle Name:DEBORAH
Authorized Official - Last Name:MALONE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:205-792-8151
Mailing Address - Street 1:3200 CLEMENTS RD
Mailing Address - Street 2:
Mailing Address - City:COTTONDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35453-2137
Mailing Address - Country:US
Mailing Address - Phone:205-792-8151
Mailing Address - Fax:
Practice Address - Street 1:3200 CLEMENTS RD
Practice Address - Street 2:
Practice Address - City:COTTONDALE
Practice Address - State:AL
Practice Address - Zip Code:35453-2137
Practice Address - Country:US
Practice Address - Phone:205-792-8151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty