Brazeau, Stephen
Brazeau, Stephen is an sole proprietor health care provider with primary practice located at 1050 Hallock Ave , Port Jefferson Station NY 11776-1214. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Brazeau, Stephen can be contacted via phone (631) 942-5851.Contact Information
Primary practice address
1050 Hallock Ave
Port Jefferson Station NY 11776-1214
Phone: (631) 942-5851
Fax: (631) 928-3651
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R054344 | New York |
Profile Details
| NPI number | 1508901075 |
|---|---|
| LBN Legal business name | Brazeau, Stephen |
| Credentials | LCSW-R |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
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