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Contact Information

JETTY PSYCHIATRIC SERVICES LLC
401 TUSCALOOSA AVE SW
SUITE 110
BIRMINGHAM, AL35211-1416
 Phone: 205-785-2000
 Fax: 205-785-2945
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for JETTY PSYCHIATRIC SERVICES LLC · (Female)

NPI Number 1750576815
Status Active
Credentials
Entity Individual
Enumeration date 09/12/2007
Last updated 09/12/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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