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DR. LUCILE BODENHEIMER PSY.D.

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

Registrant NPI Number: 1144405531

Individual Registrant:
DR. LUCILE  BODENHEIMER PSY.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
1523 LEIGHTON AVE  ANNISTON, AL 36207-3828 US
Tel: 256-236-0070  Fax: 256-237-0079

Contact information for business:
PO BOX 952  ANNISTON, AL 36202-0952 US
Tel: 256-236-0070  Fax: 256-237-0079

Registration Information:
NPI: 1144405531
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
AL978

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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