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DR. EMMA LEE PEDEN PSY.D.

>> Clinical Neuropsychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1669896809

Individual Registrant:
DR. EMMA LEE PEDEN PSY.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
702 CARR CIR  HEADLAND, AL 36345-1916 US
Tel: 334-718-7332  Fax: --

Contact information for business:
PO BOX 524  HEADLAND, AL 36345-0524 US
Tel: 334-718-7332  Fax: --

Registration Information:
NPI: 1669896809
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
AL1856
N103T00000XBehavioral Health & Social Service Providers
Psychologist
AL1856
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
AL1856

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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