Braciszewski, Terry L
Braciszewski, Terry L is an sole proprietor health care provider with primary practice located at 7926 Ann Arbor St , Dexter MI 48130-1344. He recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Rehabilitation, Ambulatory Health Care Facilities / Rural Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Braciszewski, Terry L can be contacted via phone (734) 320-2497.Contact Information
Primary practice address
7926 Ann Arbor St
Dexter MI 48130-1344
Phone: (734) 320-2497
Fax: (810) 231-0771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | ||
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | ||
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 6301006431 | Michigan |
| Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301006431 | Michigan |
Profile Details
| NPI number | 1386656023 |
|---|---|
| LBN Legal business name | Braciszewski, Terry L |
| Credentials | PH.D, |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Aug 26th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386656023 | NPPES |
| Michigan | Other | 680H146930 | BCBSM |
| Michigan | Other | 610093200 | BCBSM |
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