Individual
DR. NANCY L SACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
259 OLD JASMINE HILL RD, WETUMPKA, AL 36093-3421
(334) 590-8492
(334) 270-9757
Mailing address
6701 WINTON BLOUNT BLVD UNIT 242972, MONTGOMERY, AL 36124-5139
(334) 590-8492
(334) 270-9757
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
691
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680014097
MCR RAILROAD
—
01
—
74243
BCBS
AL
Enumeration date
07/26/2006
Last updated
10/02/2021
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