Brevda, Mary Louise
Brevda, Mary Louise is an sole proprietor health care provider with primary practice located at 228 Maple St , Middlebury VT 05753-1606. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Brevda, Mary Louise can be contacted via phone (802) 388-7435.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | Vermont |
Profile Details
| NPI number | 1871615062 |
|---|---|
| LBN Legal business name | Brevda, Mary Louise |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871615062 | NPPES |
| Vermont | Other | 5693 | BLUE CROSS BLUE SHIELD |
| Vermont | MEDICAID | 1002785 | BLUE CROSS BLUE SHIELD |
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