Individual
ADRIAN HAL THURSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
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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