SearchAlabama1041C0700X

Allen Stata, PHD, LCSW (PIP) ACSW

NPI 1861934705 · on the registry since 2016

Practice

Address
104 Edwards Drive
Marion, AL 36756
Phone
(334) 815-2100
Fax
(334) 683-4114

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
AL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-11-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama