Individual
DR. PEGGY BROWN THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2127 EXECUTIVE PARK DR, OPELIKA, AL 36801-6041
(334) 742-9555
(334) 742-0668
Mailing address
2127 EXECUTIVE PARK DR, OPELIKA, AL 36801-6041
(334) 742-9555
(334) 742-0668
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
648
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73822
—
AL
01
—
74333
BCBS PIN
AL
Enumeration date
01/04/2007
Last updated
07/08/2007
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