Ghostley, David Carl

Ghostley, David Carl is an individual health care provider with primary practice located at 202 N Bell St , Dothan AL 36303-4310. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ghostley, David Carl can be contacted via phone (334) 699-1620.

Contact Information

Primary practice address
202 N Bell St Dothan AL 36303-4310
Phone: (334) 699-1620
Fax: (334) 699-1649
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1262 Alabama

Profile Details

NPI number 1265489538
LBN Legal business name Ghostley, David Carl
Credentials PSY, D
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Aug 19th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265489538 NPPES
Alabama MEDICAID 009934545

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