Individual
DR. NANCY C HUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
813 SHADES CREEK PKWY, SUITE 202-A, BIRMINGHAM, AL 35209-4542
(205) 870-5678
(205) 879-0071
Mailing address
813 SHADES CREEK PKWY, SUITE 202-A, BIRMINGHAM, AL 35209-4542
(205) 870-5678
(205) 879-0071
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
539
AL
103TC0700X
Clinical Psychologist
Primary
539
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048942489
TRICARE
AL
01
—
1558441337
TRICARE SOUTH
AL
01
—
51043841
BLUE CROSS PROVIDER NO.
AL
01
—
515-40524
BCBS OF ALABAMA
AL
01
—
515-40526
BCBS OF ALABAMA
AL
01
—
515-90540
FEDERAL BC
AL
01
—
515-90541
FEDERAL BC
AL
05
—
890019850
—
AL
05
—
890019860
—
AL
Enumeration date
10/16/2006
Last updated
04/16/2010
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