Individual provider · Type 1 NPI

Amy Elizabeth Theriault

Student in an Organized Health Care Education/Training Program · Birmingham, AL

NPI number 1467781302 Active

Practice location

625 19th Street S
Birmingham, AL 35249-9990

Call (502) 656-8067 Map

Mailing address

625 19th St S
Birmingham, AL 35233-1900

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XG12163 (MD)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Other student in an organized health care education/training program providers in Birmingham

See all in Birmingham →

About NPI 1467781302

Amy Elizabeth Theriault's National Provider Identifier is 1467781302, issued on Dec 23, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Birmingham, AL. The record was last updated on Mar 30, 2022.