| Cantwell Family Psychiatry, Llc | |
|
770 Middle St Fairhope AL 36532-1766 | |
| (251) 517-5800 | |
| (251) 517-5801 |
| Full Name | Cantwell Family Psychiatry, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 770 Middle St, Fairhope, Alabama |
| Authorized Official Name and Position | John Joseph Broderick-cantwell (OWNER) |
| Authorized Official Contact | 2515175800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cantwell Family Psychiatry, Llc Po Box 392 Fairhope AL 36533-0392 Ph: (251) 517-5800 | Cantwell Family Psychiatry, Llc 770 Middle St Fairhope AL 36532-1766 Ph: (251) 517-5800 |
| NPI Number | 1033649298 |
|---|---|
| Provider Enumeration Date | 06/19/2017 |
| Last Update Date | 01/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033649298 | NPI | - | NPPES |
| 28950 | Other | AL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 28950 (Alabama) | Primary |
Self Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 S Greeno Rd, Suite A, Fairhope, AL 36532 Phone: 251-928-8760 Fax: 251-928-7028 | |
Prestige Telemedicine Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Cumberland Rd, Fairhope, AL 36532 Phone: 251-517-4411 | |
Infiniti Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 Saint Charles Ct, Fairhope, AL 36532 Phone: 888-212-4243 | |
Fulton G. De Four, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Morphy Ave, Fairhope, AL 36532 Phone: 251-752-8235 | |
Usa Health Daphne Family Practice, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21950 State Highway 181 Ste A, Fairhope, AL 36532 Phone: 251-621-6520 Fax: 251-621-6521 | |
Self And Self Company, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 Greeno Rd S, Suite A, Fairhope, AL 36532 Phone: 251-928-8760 Fax: 251-928-7028 |