NPI 1629388038

Audrey Rae Maynor, MEDLPC

Practitioner Psychiatric Residential Treatment Facility Birmingham, AL

Practice location

Address: 150 Glenwood Ln, Birmingham, AL 35242-5700
Phone: (205) 795-3214
Mailing address: 1029 Henry Dr, Alabaster, AL 35007-8947

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence 2238 (AL)

Other Psychiatric Residential Treatment Facility providers in Alabama →

Registry record

NPI: 1629388038
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Oct 2010
Record last updated: 19 Oct 2010

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.