| Park Place Psychiatry, Llc | |
|
207 Winton M. Blount Loop Montgomery AL 36117 | |
| (334) 356-1417 | |
| (334) 356-1433 |
| Full Name | Park Place Psychiatry, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 207 Winton M. Blount Loop, Montgomery, Alabama |
| Authorized Official Name and Position | David D. Schafter (OWNER) |
| Authorized Official Contact | 3343561417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Place Psychiatry, Llc P.o. Box 241486 Montgomery AL 36124-1486 Ph: (334) 356-1417 | Park Place Psychiatry, Llc 207 Winton M. Blount Loop Montgomery AL 36117 Ph: (334) 356-1417 |
| NPI Number | 1629108261 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 06/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629108261 | NPI | - | NPPES |
| 529906980 | Medicaid | AL |
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