East Alabama Center for Change, LLC

NPI #1902280126 in Auburn, Alabama

Provider Information

NPI Number: 1902280126
Entity Type: Organization
Organization Name: East Alabama Center for Change, LLC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Jul 17, 2015
Last Updated: Jul 17, 2015

Practice Location

Address: 124 BRAGG AVE
City: Auburn
State: Alabama
ZIP Code: 36830-3809
Phone: (334) 734-2603

Authorized Official

Name: AMBER ELIZABETH DOUGLAS, PSYD
Title: LICENSED PSYCHOLOGIST
Phone: (334) 734-2603

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Health — Health	103TH0004X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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