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Southern Psychological Services, P.C.

Details

Name: Southern Psychological Services, P.C.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 23 Apr 2003 (22 years ago)
Date of dissolution: 30 Dec 2008
Entity Number: 000-228-734
Register Number: 000228734
County: Mobile
Place of Formation: Mobile County
Registered Office Street Address: 273 AZALEA RD STE 305 ONE OFFICE PARKMOBILE, AL 36609
Registered Office Street Address ZIP Code: 36609
Authorized Capital: 1,000

Activities CLINICAL PSYCHOLOGIST

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1942426804 2007-04-18 2020-08-22 6758 STONERIDGE CT, MOBILE, AL, 366953061, US 273 AZALEA RD, ONE OFFICE PARK, SUITE 305, MOBILE, AL, 366091970, US

Contacts

Phone +1 251-776-5944
Phone +1 251-323-2022

Authorized person

Name DR. KIM MICHELLE ZWEIFLER
Role PRESIDENT
Phone 2513432022

Taxonomy

Taxonomy Code 103TC0700X - Clinical Psychologist
License Number 886
State AL
Is Primary Yes

Agent

Name Role
ZWEIFLER, KIM M Agent

Incorporator

Name Role
ZWEIFLER, KIM M Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State