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
Phone: (571) 432-2780
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 10 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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