Brouillard, Mary Ellison

Brouillard, Mary Ellison is an individual health care provider with primary practice located at #1 Freedom Way (26) , Augusta GA 30904-6285. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Brouillard, Mary Ellison can be contacted via phone (706) 733-0188.

Contact Information

Primary practice address
#1 Freedom Way (26) Augusta GA 30904-6285
Phone: (706) 733-0188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1425 Georgia

Profile Details

NPI number 1487757720
LBN Legal business name Brouillard, Mary Ellison
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
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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