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BEVERLY ANN BUSH PHD

Clinical Neuropsychologist

Birmingham, Alabama

Provider NPI: 1013957638

Provider Information:
 BEVERLY ANN BUSH PHD
Gender: F


Practice Location:
619 19TH STREET SOUTH  BIRMINGHAM, AL 35233 US
Tel: 205-934-6600  Fax: --

Business Mailing Address:
PO BOX 55310  BIRMINGHAM, AL 35255 US
Tel: 205-731-9701  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
AL979

Other Provider Identifiers:

IssuerNumberStateType
VIVAS92709AL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS AL - Page 1



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