Individual
DR. MARK FRANKLIN BRECHTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1 HUNTINGTON RD, STE 103, ATHENS, GA 30606-7204
(706) 369-0970
Mailing address
428 SAWDUST TRL, NICHOLSON, GA 30565-3097
(706) 372-6199
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY002805
GA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
PSY002805
GA
103TC1900X
Counseling Psychologist
—
—
103TF0000X
Family Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1162893
CAQH
GA
05
—
750409758A
—
GA
Enumeration date
08/22/2006
Last updated
07/05/2009
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