Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 1600 | AL |
Y | 103T00000X | Psychologist | 1600 | AL |
NPI | 1013246594 |
---|---|
Provider Name | Dr. Lesley Cathryn Marsal |
First Address | Birmingham, AL 35209-8803 |
Second Address | Dothan, AL 36303-1980 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2009 |
Last Update Date | 28/04/2014 |