Brodie, Phyllis

Brodie, Phyllis is an sole proprietor health care provider with primary practice located at 10580 Arrowhead Dr , Fairfax VA 22030-7301. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brodie, Phyllis can be contacted via phone (571) 432-2780.

Contact Information

Primary practice address
10580 Arrowhead Dr Fairfax VA 22030-7301
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810002652 Virginia

Profile Details

NPI number 1194853846
LBN Legal business name Brodie, Phyllis
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2007
Last updated Jan 5th, 2015 - about 9 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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