Provider Demographics
NPI:1528029022
Name:ALBRECHT, WILLIAM J JR (PHD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:J
Last Name:ALBRECHT
Suffix:JR
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2459 EMERALD PL
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-5739
Mailing Address - Country:US
Mailing Address - Phone:252-757-3939
Mailing Address - Fax:
Practice Address - Street 1:2459 EMERALD PL
Practice Address - Street 2:SUITE 102
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-5739
Practice Address - Country:US
Practice Address - Phone:252-757-3939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-01
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2474103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0429FOtherBCBS
NC2351764OtherMEDICARE PTAN
NC561396133OtherAETNA
NC2815001OtherMEDICARE
NC015WAOtherBCBS
NC561396133OtherCIGNA HEALTHCARE
NC561396133OtherTRICARE
NC0429FOtherBCBS
NC561396133OtherTRICARE
NC6000855Medicaid