Mary Jo Brazelton in Huntsville - Psychologist
Mary Jo Brazelton - NPI 1801006259
Mary Jo Brazelton is a Psychologist in Huntsville, Alabama. Mary Jo Brazelton practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mary Jo Brazelton is 1801006259. The last update date is 2007-07-08.
Mary Jo Brazelton's current location address is 7771 Wildcreek Trl Se, Huntsville, Alabama. You can contact this provider via phone number 2562704800 and fax number 2564288059. The mailing address for Mary Jo Brazelton is 7771 Wildcreek Trl Se, Huntsville, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jo Brazelton |
|---|---|
| Address | 7771 Wildcreek Trl Se, Huntsville, Alabama |
| Phone Number | 2562704800 |
| Fax Number | 2564288059 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1801006259 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7771 Wildcreek Trl Se |
|---|---|
| City | Huntsville |
| State | Alabama (AL) |
| Post Code | 358023926 |
| Phone Number | 2562704800 |
| Fax Number | 2564288059 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PY 002725 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique 10-digit identifier code issued to Mary Jo Brazelton by the Centers for Medicare & Medicaid Services?
The Mary Jo Brazelton has been assigned the NPI (National Provider Identifier) 1801006259 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Mary Jo Brazelton's physical address?
The Mary Jo Brazelton is physically located at 7771 Wildcreek Trl Se, in the city of Huntsville, AL, with the postal code 358023926.
What is Mary Jo Brazelton's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary Jo Brazelton's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
When did the Mary Jo Brazelton receive its 1801006259?
The Mary Jo Brazelton was issued its 1801006259 on 2007-05-23, which is the date when the organization was assigned this unique identifier.
When was the information regarding Mary Jo Brazelton, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mary Jo Brazelton, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.