Whalio Doctors

NPI 1164519849

Barry L Funkhouser, MD

Practitioner Clinical Psychologist Fort Rucker, AL

Practice location

Address
301 Andrews Avenue, Fort Rucker, AL 36362
Phone
(334) 255-7387
Fax
(334) 255-7716
Mailing address
117 Vixen CT, Dothan, AL 36305-9353

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 928 (AL)

Registry record

NPI
1164519849
Entity type
Individual
Sex (as registered)
Male
NPI issued
6 Oct 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.