Provider Demographics
NPI:1659988624
Name:TALL, PAULA MCNEIL (LBSW, MSW)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:MCNEIL
Last Name:TALL
Suffix:
Gender:F
Credentials:LBSW, MSW
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:MARIE
Other - Last Name:MCNEIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:457 WEATHERLY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-2871
Mailing Address - Country:US
Mailing Address - Phone:205-475-6443
Mailing Address - Fax:205-216-0203
Practice Address - Street 1:457 WEATHERLY CLUB DR
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-2871
Practice Address - Country:US
Practice Address - Phone:205-475-6443
Practice Address - Fax:205-216-0203
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-24
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1061B104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker