Jetty Psychiatric Services LLC
NPI #1750576815 in Birmingham, Alabama
Provider Information
- NPI Number
- 1750576815
- Entity Type
- Organization
- Organization Name
- Jetty Psychiatric Services LLC
- Primary Specialty
- Psychiatry & Neurology - Geriatric Psychiatry
- Enumeration Date
- Sep 12, 2007
- Last Updated
- Sep 12, 2007
Practice Location
- Address
- 401 TUSCALOOSA AVE SW
- Address 2
- SUITE 110
- City
- Birmingham
- State
- Alabama
- ZIP Code
- 35211-1416
- Phone
- (205) 785-2000
Authorized Official
- Name
- DR. PRAVEEN JETTY, M.D.
- Title
- OWNER/M.D.
- Phone
- (205) 785-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Geriatric Psychiatry — Geriatric Psychiatry |
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