Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 1450 | AL |
Y | 103T00000X | Psychologist | 1450 | AL |
NPI | 1013109024 |
---|---|
Provider Name | Emily M Whitt |
First Address | Birmingham, AL 35243-2502 |
Second Address | Birmingham, AL 35213-1218 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2007 |
Last Update Date | 14/08/2007 |