Dr. Allen Stata's National Provider Identifier (NPI) Details
Dr. Allen Stata, PhD, LCSW (PIP) ACSW
NPI: 1861934705
Enumeration Date: 2016-11-09
Last updated: 2016-11-09
Sole Proprietor: NO
Status: active
Postal Address: 1017 MEDICAL CENTER PARKWAY, SELMA, AL
Phone: 334-875-2100
Primary Practice Address: 104 EDWARDS DRIVE, MARION, AL
Practice's phone: 334-815-2100