Ellen Katz Brosamle in Northbrook - Marriage & Family Therapist
Ellen Katz Brosamle - NPI 1508078460
Ellen Katz Brosamle is a Marriage & Family Therapist in Northbrook, Illinois. Ellen Katz Brosamle practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Ellen Katz Brosamle is 1508078460. The last update date is 2007-07-08.
Ellen Katz Brosamle's current location address is 2515 Illinois Rd, Northbrook, Illinois. You can contact this provider via phone number 8475090945. The mailing address for Ellen Katz Brosamle is 2515 Illinois Rd, Northbrook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen Katz Brosamle |
|---|---|
| Address | 2515 Illinois Rd, Northbrook, Illinois |
| Phone Number | 8475090945 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1508078460 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2515 Illinois Rd |
|---|---|
| City | Northbrook |
| State | Illinois (IL) |
| Post Code | 600625242 |
| Phone Number | 8475090945 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 18392 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique identification code assigned to Ellen Katz Brosamle by the Centers for Medicare & Medicaid Services?
The Ellen Katz Brosamle has been issued the NPI (National Provider Identifier) 1508078460. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Ellen Katz Brosamle is geographically located?
The Ellen Katz Brosamle is physically situated at the following location: 2515 Illinois Rd, Northbrook, IL, 600625242.
What is Ellen Katz Brosamle's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ellen Katz Brosamle is Marriage & Family Therapist, and the taxonomy code that classifies this field of practice is 106H00000X.
On what date was the 1508078460 assigned to Ellen Katz Brosamle?
The Ellen Katz Brosamle was issued its 1508078460 on 2007-05-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Ellen Katz Brosamle last refreshed?
The information related to the Ellen Katz Brosamle, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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