Broustovetskaia, Alexandra

Broustovetskaia, Alexandra is an individual health care provider with primary practice located at 8303 Six Forks Rd Ste 207 , Raleigh NC 27615. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Broustovetskaia, Alexandra can be contacted via phone (919) 245-7791.

Contact Information

Primary practice address
8303 Six Forks Rd Ste 207 Raleigh NC 27615
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 10641 Massachusetts

Profile Details

NPI number 1124516026
LBN Legal business name Broustovetskaia, Alexandra
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2018
Last updated Oct 2nd, 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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