Doctor Name: | THOMAS MICHAEL LABRECHE |
NPI Number: | 1245276393 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | NC1084 |
Business Practice Address: | 182 West Court St Rutherfordton, NC - 28139 |
Business Phone Number: | 8282877806 |
Business Fax Number: | 8282870004 |
Mailing Address: | Po Box 878, RUTHERFORDTON |
State: | NC |
Postal Code: | 28139 |
Phone Number: | 8282877806 |
Fax Number: | 8282870004 |
NPI Enumeration Date: | 06/20/2006 |
NPI Last Update Date: | 08/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | NC1084 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |