Fouche Brazzle, Kathleen Michelle

Fouche Brazzle, Kathleen Michelle is an sole proprietor health care provider with primary practice located at 5640 W Maple Rd Suite 310, West Bloomfield MI 48322-3716. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Fouche Brazzle, Kathleen Michelle can be contacted via phone (248) 932-0290.

Contact Information

Primary practice address
5640 W Maple Rd Suite 310 West Bloomfield MI 48322-3716
Phone: (248) 932-0290
Fax: (248) 932-0358
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301052026 Michigan
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 049875 Georgia
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 4301052026 Michigan
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 049875 Georgia

Profile Details

NPI number 1629057906
LBN Legal business name Fouche Brazzle, Kathleen Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2006
Last updated Apr 5th, 2011 - about 13 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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