Charles Gayle Pelham in Birmingham - Clinical
Charles Gayle Pelham - NPI 1346299468
Charles Gayle Pelham is a Clinical in Birmingham, Alabama. Charles Gayle Pelham practices all healthcare services and medical treatments related to Clinical. The NPI Number for Charles Gayle Pelham is 1346299468. The last update date is 2007-07-08.
Charles Gayle Pelham's current location address is 2200 Lakeshore Drive, Birmingham, Alabama. You can contact this provider via phone number 2058716926 and fax number 2058717981. The mailing address for Charles Gayle Pelham is 2200 Lakeshore Drive, Birmingham, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Gayle Pelham |
|---|---|
| Address | 2200 Lakeshore Drive, Birmingham, Alabama |
| Phone Number | 2058716926 |
| Fax Number | 2058717981 |
| Sole Proprietor | X |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1346299468 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2200 Lakeshore Drive |
|---|---|
| City | Birmingham |
| State | Alabama (AL) |
| Post Code | 35209 |
| Phone Number | 2058716926 |
| Fax Number | 2058717981 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 424 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identification code assigned to Charles Gayle Pelham by the Centers for Medicare & Medicaid Services?
The Charles Gayle Pelham has been issued the NPI (National Provider Identifier) 1346299468. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Charles Gayle Pelham?
The Charles Gayle Pelham is situated at 2200 Lakeshore Drive, in the city of Birmingham, state of AL, with the zip code 35209.
What is the Charles Gayle Pelham's specialty and taxonomy code?
The Charles Gayle Pelham's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1346299468 to Charles Gayle Pelham?
The Centers for Medicare & Medicaid Services assigned the 1346299468 to Charles Gayle Pelham on 2006-05-08.
When was the information pertaining to Charles Gayle Pelham most recently updated or revised?
The details related to Charles Gayle Pelham, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.