Doctor Name: | MR. ALAN SUTTON BRETT |
NPI Number: | 1073696399 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA |
License Number: | |
Business Practice Address: | Building 80h (pp-116b) Vamc Perry Point, MD - 21902 |
Business Phone Number: | 4106422411 |
Business Fax Number: | 4106421101 |
Mailing Address: | Po Box 370, CHURCHVILLE |
State: | MD |
Postal Code: | 210280370 |
Phone Number: | 4106422411 |
Fax Number: | 4106421101 |
NPI Enumeration Date: | 10/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |