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Psychological Assessment Center, LLC

Details

Name: Psychological Assessment Center, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 05 Aug 2015 (9 years ago) (Companies founded in August 2015)
Entity Number: 000-341-513
Register Number: 000341513
ZIP code: 36830 (Companies in Lee, 36830)
County: Lee
Place of Formation: Lee County
Registered Office Street Address: 852 N. DEAN ROAD, SUITE 100AUBURN, AL 36830

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1942677513 2015-08-29 2015-08-29 3320 SKYWAY DR, #801, OPELIKA, AL, 368017137, US 3320 SKYWAY DR, #801, OPELIKA, AL, 368017137, US

Contacts

Phone +1 334-742-9102
Fax 3347429103

Authorized person

Name POLLY BLAKE DUNN
Role PARTNER
Phone 3347429102

Taxonomy

Taxonomy Code 103TC0700X - Clinical Psychologist
License Number 1041
State AL
Is Primary Yes

Agent

Name Role Address
BALCH, RUSSELL C Agent AKRIDGE & BALCH PCAUBURN, AL 36830

Organizer

Name Role Address
BALCH, RUSSELL C Organizer AKRIDGE & BALCH PCAUBURN, AL 36830

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State