Brigham, Ellen

Brigham, Ellen is an individual health care provider with primary practice located at 11230 Waples Mill Rd Ste 100 , Fairfax VA 22030-6087. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, which is considered as her primary health care specialty. Brigham, Ellen can be contacted via phone (703) 309-4363.

Contact Information

Primary practice address
11230 Waples Mill Rd Ste 100 Fairfax VA 22030-6087
Phone: (703) 309-4363
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X 18-076 Virginia

Profile Details

NPI number 1326522871
LBN Legal business name Brigham, Ellen
Credentials ATR-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2018
Last updated Sep 20th, 2018 - about 6 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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