Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 1513 | AL |
Y | 103T00000X | Psychologist | 1513 | AL |
NPI | 1003042052 |
---|---|
Provider Name | Dr. Virginia Lee Scott-Adams |
First Address | Northport, AL 35473-1567 |
Second Address | Northport, AL 35473-1567 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2009 |
Last Update Date | 04/06/2009 |