Provider Demographics
NPI:1972047900
Name:LEDBETTER, CHRISTIE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIE
Middle Name:
Last Name:LEDBETTER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7800 MADISON BLVD STE 703
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-2049
Mailing Address - Country:US
Mailing Address - Phone:256-489-1293
Mailing Address - Fax:
Practice Address - Street 1:7800 MADISON BLVD STE 703
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-2049
Practice Address - Country:US
Practice Address - Phone:256-489-1293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-09
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2054103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical