Barry L Funkhouser, MD Valid NPI
Individual provider · Clinical Psychologist · Fort Rucker, AL
- NPI
- 1164519849
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Psychologist (Psychologist)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103TC0700X
- License number
- 928 (AL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-10-06
- Last updated
- 2007-07-08
Practice location
301 Andrews Avenue
Fort Rucker, AL 36362
(334) 255-7387