Matthew  D  Thompson    PSYD
Contract Details
Grayson & Associates
Facility name
Provider ID
P000001739
NPI
1548207285
Tax ID
630917523
Effective Date
10/1/2006
Last Updated
4/14/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1200 Corporate Drive Suite 125
Birmingham, AL 35242
United States
County
Shelby
Phone
2053297992 (Phone)
Billing Details
Address
P.O. Box 2153
Department 3207
Birmingham, AL 35287
Billing Phone
2058021094
Specialty Type
Neuropsychology
Map
Address