Kristine Brazzel is a Clinical in Mesa, Arizona. Kristine Brazzel practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kristine Brazzel is 1063551166. The last update date is 2009-06-01.
Kristine Brazzel's current location address is Po Box 13051, Mesa, Arizona. You can contact this provider via phone number 4802282367. The mailing address for Kristine Brazzel is Po Box 13051, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristine Brazzel |
|---|---|
| Address | Po Box 13051, Mesa, Arizona |
| Phone Number | 4802282367 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D., LP |
NPI Number Detail
| NPI Number | 1063551166 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2009-06-01 |
Provider Mailing Address Detail
| Address | Po Box 13051 |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852163051 |
| Phone Number | 4802282367 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 3823 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code assigned to Kristine Brazzel by the Centers for Medicare & Medicaid Services?
The Kristine Brazzel has been issued the NPI (National Provider Identifier) 1063551166 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kristine Brazzel's facilities are situated?
The facilities of Kristine Brazzel are physically located at the following address: Po Box 13051, Mesa, AZ, 852163051.
What is the Kristine Brazzel's specialty and taxonomy code?
The Kristine Brazzel's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When did the Kristine Brazzel receive its 1063551166?
The Kristine Brazzel was issued its 1063551166 on 2007-02-05, which is the date when the organization was assigned this unique identifier.
As of what date were the Kristine Brazzel's details last updated?
The information pertaining to the Kristine Brazzel, including its address, specialty, and other details, was most recently updated on 2009-06-01.
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