| Peggy Thornton, Ph.d., Llc | |
|
3 Office Park Cir Ste 310 Mountain Brk AL 35223-2536 | |
| (205) 789-8698 | |
| Not Available |
| Full Name | Peggy Thornton, Ph.d., Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3 Office Park Cir Ste 310, Mountain Brk, Alabama |
| Authorized Official Name and Position | Peggy Thornton (OWNER) |
| Authorized Official Contact | 2057898698 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peggy Thornton, Ph.d., Llc 441 Park Ave Hoover AL 35226-1154 Ph: (205) 789-8698 | Peggy Thornton, Ph.d., Llc 3 Office Park Cir Ste 310 Mountain Brk AL 35223-2536 Ph: (205) 789-8698 |
| NPI Number | 1093387086 |
|---|---|
| Provider Enumeration Date | 07/11/2021 |
| Last Update Date | 07/15/2021 |
| Certification Date | 07/15/2021 |
| Medicare PECOS PAC ID | 7214331065 |
|---|---|
| Medicare Enrollment ID | O20210802001986 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093387086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Peggy B Thornton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639226400 PECOS PAC ID: 3779744032 Enrollment ID: I20120412000483 |
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