Brazelton, Mary Jo

Brazelton, Mary Jo is an sole proprietor health care provider with primary practice located at 7771 Wildcreek Trl Se , Huntsville AL 35802-3926. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Brazelton, Mary Jo can be contacted via phone (256) 270-4800.

Contact Information

Primary practice address
7771 Wildcreek Trl Se Huntsville AL 35802-3926
Fax: (256) 428-8059
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY 002725 Florida

Profile Details

NPI number 1801006259
LBN Legal business name Brazelton, Mary Jo
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 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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