DR. EMMA LEE PEDEN


Address: 702 Carr Cir, Headland, AL 36345-1916
Phone: 3347187332

DR. EMMA LEE PEDEN (NPI# 1669896809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669896809
Entity Type Individual
Full Name DR. EMMA LEE PEDEN
Credential PSY.D.
Practice Address 702 Carr Cir
Headland
AL 36345-1916
Mailing Address Po Box 524
Headland
AL 36345-0524
Practice Telephone 3347187332
Mailing Telephone 3347187332
Enumeration Date 2014-02-07
Last Update Date 2014-02-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 1856 AL Behavioral Health & Social Service Providers
N 103T00000X Psychologist 1856 AL Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
1856 AL Behavioral Health & Social Service Providers

Office Location

Street Address 702 CARR CIR
City HEADLAND
State AL
Zip Code 36345-1916

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922556877 Christoline Nichole Daniels Specialist/Technologist 100 Benjamin Way, Headland, AL 36345 2016-09-20
1174939326 Wal-mart Stores East Lp Durable Medical Equipment & Medical Supplies 14331 County Rd 99, Headland, AL 36345 2014-07-09
1366551301 Jimmy Hinson King Dentist 123 Holman Drive, Headland, AL 36345 2006-08-30
1104858042 Brent Thomas Tucker Psychologist 525.5 Church St, Headland, AL 36345 2006-07-07
1265450282 Massvax Travel Clinic L.L.C. Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 113 Parkside Dr, Headland, AL 36345-1520 2006-07-17
1407291099 Matthew J Welch Student in an Organized Health Care Education/Training Program 307 Knowles Rd, Headland, AL 36345-1541 2013-05-08
1437221041 City of Headland Ambulance 456 E Main St, Headland, AL 36345-1850 2006-11-15
1508892928 Stanley Ray Mccardle Dentist 812 Mitchell St, Headland, AL 36345-2100 2006-06-25
1104969880 Henry County Health Dept-headland Adult Immun Public Health or Welfare 2 Cable St, Headland, AL 36345-2136 2007-02-14
1932620168 Henry County Health Dept (headland) Std Public Health or Welfare 2 Cable St, Headland, AL 36345-2136 2017-06-28
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205457504 Elaine Joy Mahoney Clinical Neuropsychologist 1717 6th Ave S # Src190, Birmingham, AL 35233-1801 2020-04-28
1083958813 William Jeffrey Bryson Clinical Neuropsychologist 250 Chateau Dr Sw Ste 145, Huntsville, AL 35801-6437 2012-11-16
1376893032 Thomas Joseph Conboy Clinical Neuropsychologist 1200 14th St, Suite A, Phenix City, AL 36867-4907 2012-09-10
1295025997 Sharon D Waltz Clinical Neuropsychologist 1365 Caliston Way, Pelham, AL 35124 2011-04-14
1356671408 Kimberly Jones Rogers Clinical Neuropsychologist 200 Grove Park Ln Ste 212, Dothan, AL 36305 2010-01-12
1548493000 Henry R. Griffith, Ph.d. Clinical Neuropsychologist 1025 23rd St S, Suite 100, Magnolia Financial Building, Birmingham, AL 35205-2499 2009-09-01
1497989370 Gove Hill Memorial Hospital, Inc Clinical Neuropsychologist 295 South Jackson Street, Grove Hill, AL 36451-0935 2009-05-07
1013193010 Joanna T Koulianos Clinical Neuropsychologist 22 N Florida St, Mobile, AL 36607-3108 2008-01-21
1093996985 Neuropsychology Clinic Clinical Neuropsychologist 2804 20th Ave, Northport, AL 35476-3835 2007-11-19
1912108838 Neurolife, LLC Clinical Neuropsychologist 7501 Memorial Pkwy Sw, Suite 101, Huntsville, AL 35802-2204 2007-05-29
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Competitor

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City HEADLAND
Zip Code 36345

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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