| Doctor Name: | DR. ALAN C EGGERT |
| NPI Number: | 1073850004 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 4589 |
| Business Practice Address: | 1390 Cavalier Way Roebuck, SC - 293763367 |
| Business Phone Number: | 8645764212 |
| Business Fax Number: | 8645952411 |
| Mailing Address: | 1390 Cavalier Way, ROEBUCK |
| State: | SC |
| Postal Code: | 293763367 |
| Phone Number: | 8645764212 |
| Fax Number: | 8645952411 |
| NPI Enumeration Date: | 01/10/2013 |
| NPI Last Update Date: | 01/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | 4589 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |