Individual
THOMAS A NOVACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
464
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000070983
BLUE CROSS
AL
05
—
000070983
—
AL
05
—
009937585
—
AL
01
—
010033CH98021
SECTION 1011
AL
01
—
051517712
BLUE CROSS
AL
01
—
051534515
BC FEDERAL EHBP
AL
01
—
P00238782
RAILROAD MEDICARE
AL
01
—
R62409
VIVA
AL
Enumeration date
07/17/2006
Last updated
05/23/2010
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