Individual
ADRIAN HAL THURSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
452
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000070921
BLUE CROSS
AL
01
—
051501493
BC FEDERAL EHBP
AL
01
—
051525191
BLUE CROSS
AL
01
—
330000005
MEDICAID REHAB
AL
01
—
680001747
RAILROAD MEDICARE
AL
01
—
R35773
VIVA
AL
Enumeration date
07/21/2006
Last updated
06/10/2008
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