4Thekids Support Services LLC

Organization Active NPI Clinical Psychologist · Enterprise, AL

NPI 1730477159 · NPPES record last updated Jul 19, 2011

Key facts

NPI
1730477159
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Psychologist 103TC0700X
License
847 (AL)
Legal business name
4THEKIDS SUPPORT SERVICES LLC
Practice address
110 Yellowleaf Dr
Enterprise, AL 36330-2263
Phone
(334) 390-1002
Fax
(888) 326-3480
NPI assigned
Jul 19, 2011
Organization subpart
No

Authorized official

Name
Karen Pridgen
Title
President
Phone
(334) 390-1002

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist
Group: 193400000X SINGLE SPECIALTY GROUP
103TC0700X 847 AL Yes

Addresses

Primary practice location

110 Yellowleaf Dr
Enterprise, AL 36330-2263

Mailing address

110 Yellowleaf Dr
Enterprise, AL 36330-2263
Phone (334) 390-1002

Other providers in Enterprise, AL

All providers in Enterprise, AL · Clinical Psychologist in Alabama

Sources for this page

Verify at the official NPI Registry.