Brenda Vactor is a Clinical in Huntsville, Alabama. Brenda Vactor practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brenda Vactor is 1063420644. The last update date is 2017-03-07.
Brenda Vactor's current location address is 3007 Memorial Pkwy Sw, Huntsville, Alabama. You can contact this provider via phone number 2568822003 and fax number 2567054630. The mailing address for Brenda Vactor is 3007 Memorial Pkwy Sw, Huntsville, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenda Vactor |
|---|---|
| Address | 3007 Memorial Pkwy Sw, Huntsville, Alabama |
| Phone Number | 2568822003 |
| Fax Number | 2567054630 |
| Sole Proprietor | N |
| Credentials | LCSW, PIP |
NPI Number Detail
| NPI Number | 1063420644 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2017-03-07 |
Provider Mailing Address Detail
| Address | 3007 Memorial Pkwy Sw |
|---|---|
| City | Huntsville |
| State | Alabama (AL) |
| Post Code | 358015393 |
| Phone Number | 2568822003 |
| Fax Number | 2567054630 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1692C |
|
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1063420644 | AL | ALLKIDS | |
| 1063420644 | AL | MEDICARE | |
| 1063420644 | AL | BLUE CROSS BLUE SHIELD | |
| 1063420644 | AL | EPS- EXTENDED PSYCHIATRIC SERV | |
| 1063420644 | AL | TRICARE | |
| 1063420644 | AL | BLUE ADVANTAGE | |
| 1063420644 | AL | MEDICAID (CROSSOVER) |
Post Comment/ Review Below
What is the unique identifier code issued to Brenda Vactor by the Centers for Medicare & Medicaid Services (CMS)?
The Brenda Vactor has been assigned the NPI (National Provider Identifier) 1063420644. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Brenda Vactor located?
The Brenda Vactor is located at 3007 Memorial Pkwy Sw, Huntsville, AL 358015393.
What is Brenda Vactor's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Brenda Vactor is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
When was the Brenda Vactor's 1063420644 issued?
The Brenda Vactor's 1063420644 was issued on 2006-08-03.
As of what date was the information pertaining to Brenda Vactor, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Brenda Vactor, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-03-07.