Mary Ellison Brouillard in Augusta - Psychologist
Mary Ellison Brouillard - NPI 1487757720
Mary Ellison Brouillard is a Psychologist in Augusta, Georgia. Mary Ellison Brouillard practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mary Ellison Brouillard is 1487757720. The last update date is 2007-07-08.
Mary Ellison Brouillard's current location address is #1 Freedom Way (26), Augusta, Georgia. You can contact this provider via phone number 7067330188. The mailing address for Mary Ellison Brouillard is #1 Freedom Way (26), Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Ellison Brouillard |
|---|---|
| Address | #1 Freedom Way (26), Augusta, Georgia |
| Phone Number | 7067330188 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1487757720 |
|---|---|
| Provider Enumeration Date | 2006-09-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | #1 Freedom Way (26) |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309046285 |
| Phone Number | 7067330188 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1425 |
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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 Mary Ellison Brouillard's 1487757720?
The Mary Ellison Brouillard's NPI (National Provider Identifier) Number is 1487757720. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mary Ellison Brouillard's physical address?
The Mary Ellison Brouillard is physically located at #1 Freedom Way (26), in the city of Augusta, GA, with the postal code 309046285.
What is Mary Ellison Brouillard's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary Ellison Brouillard is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
On what date was the 1487757720 assigned to Mary Ellison Brouillard?
The Mary Ellison Brouillard was issued its 1487757720 on 2006-09-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Mary Ellison Brouillard most recently updated or revised?
The details related to Mary Ellison Brouillard, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.