Branscomb, Louisa Porter
Branscomb, Louisa Porter is an sole proprietor health care provider with primary practice located at 5 S Public Sq Suite 103, Cartersville GA 30120-3348. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Branscomb, Louisa Porter can be contacted via phone (678) 721-0103.Contact Information
Primary practice address
5 S Public Sq Suite 103
Cartersville GA 30120-3348
Phone: (678) 721-0103
Fax: (770) 382-0023
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY001315 | Georgia |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY00002224 | Washington |
Profile Details
| NPI number | 1730236951 |
|---|---|
| LBN Legal business name | Branscomb, Louisa Porter |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1730236951 | NPPES |
| Georgia | Other | 11410766 | CAQH |
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