Brisky, Martha T

Brisky, Martha T is an sole proprietor health care provider with primary practice located at 154 El Morro Way N , Ramah NM 87321. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / School is her primary health care specialty. Brisky, Martha T can be contacted via phone (505) 240-1545.

Contact Information

Primary practice address
154 El Morro Way N Ramah NM 87321
Phone: (505) 240-1545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 248115 New Mexico
Behavioral Health & Social Service Providers / Psychologist 103T00000X 556 New Mexico

Profile Details

NPI number 1821129396
LBN Legal business name Brisky, Martha T
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821129396 NPPES
New Mexico MEDICAID G9802

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