Carol Yvonne Conner, BS

Individual provider Active NPI Community/Behavioral Health Agency · Tuscaloosa, AL

NPI 1174841845 · NPPES record last updated May 5, 2010

Key facts

NPI
1174841845
Entity type
Individual (NPI type 1)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Practice address
627 29TH St Apt B2
Tuscaloosa, AL 35401-7194
Phone
(205) 454-0492
Fax
(205) 633-2773
NPI assigned
May 5, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

627 29TH St Apt B2
Tuscaloosa, AL 35401-7194

Mailing address

3625 Waterfall LN
Tuscaloosa, AL 35406-2935
Phone (205) 454-0492

Other providers in Tuscaloosa, AL

All providers in Tuscaloosa, AL · Community/Behavioral Health Agency in Alabama

Sources for this page

Verify at the official NPI Registry.