Marshall, Bronwyn Renee

Marshall, Bronwyn Renee is an sole proprietor health care provider with primary practice located at 2120 S Mcclintock Dr Ste 105 , Tempe AZ 85282. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Marshall, Bronwyn Renee can be contacted via phone (480) 804-0326.

Contact Information

Primary practice address
2120 S Mcclintock Dr Ste 105 Tempe AZ 85282
Phone: (480) 804-0326
Fax: (480) 804-0083
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X LCSW-11303 Arizona
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-11303 Arizona

Profile Details

NPI number 1386793412
LBN Legal business name Marshall, Bronwyn Renee
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
Last updated Sep 24th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386793412 NPPES
Arizona MEDICAID 881286

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