4thekids Support Services LLC

NPI #1730477159 in Enterprise, Alabama

Provider Information

NPI Number: 1730477159
Entity Type: Organization
Organization Name: 4thekids Support Services LLC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Jul 19, 2011
Last Updated: Jul 19, 2011

Practice Location

Address: 110 YELLOWLEAF DR
City: Enterprise
State: Alabama
ZIP Code: 36330-2263
Phone: (334) 390-1002

Authorized Official

Name: KAREN PRIDGEN
Title: PRESIDENT
Phone: (334) 390-1002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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