Individual
DR. CATHY J BRUMBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
22787 US HIGHWAY 98, SUITE C2, FAIRHOPE, AL 36532-6329
(251) 990-2305
Mailing address
22787 US HIGHWAY 98, SUITE C2, FAIRHOPE, AL 36532-6329
(251) 990-2305
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-77378
BLUE CROSS BLUE SHIELD
AL
Enumeration date
10/16/2006
Last updated
07/08/2007
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