Doctor Name: | DR. PATRICIA A. BRAWLEY |
NPI Number: | 1013908243 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D., LPC |
License Number: | 0608 |
Business Practice Address: | 208 Harmony St Mccomb, MS - 396482210 |
Business Phone Number: | 6016849657 |
Business Fax Number: | 8888077051 |
Mailing Address: | 208 Harmony St, MCCOMB |
State: | MS |
Postal Code: | 396482210 |
Phone Number: | 6016849657 |
Fax Number: | 8888077051 |
NPI Enumeration Date: | 11/04/2005 |
NPI Last Update Date: | 07/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0608 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |