Individual
THOMAS C BRECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
101 2ND AVE SE, CULLMAN, AL 35055
(256) 739-4910
(256) 739-9455
Mailing address
503 CLARK ST NE, CULLMAN, AL 35055-1921
(256) 739-0801
(256) 739-0027
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
322
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000070757
—
AL
01
—
70757
BCBS
AL
01
—
E869
MDCR REASSIGMENT
AL
Enumeration date
05/24/2006
Last updated
10/10/2018
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