Provider Demographics
NPI:1063562395
Name:KLAPOW, JOSHUA CHARLES (PHD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:CHARLES
Last Name:KLAPOW
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:JOSH
Other - Middle Name:C
Other - Last Name:KLAPOW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:4900 MOUNTAIN VIEW PKWY
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35244-1932
Mailing Address - Country:US
Mailing Address - Phone:205-980-1369
Mailing Address - Fax:205-980-1369
Practice Address - Street 1:300 VESTAVIA OFFICE PARKWAY
Practice Address - Street 2:SUITE 3200
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35216-3753
Practice Address - Country:US
Practice Address - Phone:205-822-7349
Practice Address - Fax:205-822-7297
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL875103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical