Doctor Name: | MS. LINDSEY RYAN BRAKE |
NPI Number: | 1265868129 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LRT/CTRS |
License Number: | 2101 |
Business Practice Address: | 3607 Mhra 1111 Spring Garden St Beyond Academics, The University Of N.c. At Greensboro Greensboro, NC - 274125013 |
Business Phone Number: | 3363343855 |
Business Fax Number: | 3363343361 |
Mailing Address: | 3607 Mhra 1111 Spring Garden St, Beyond Academics, The University Of N.c. At Greensboro GREENSBORO |
State: | NC |
Postal Code: | 274125013 |
Phone Number: | 3363343855 |
Fax Number: | 3363343361 |
NPI Enumeration Date: | 09/23/2013 |
NPI Last Update Date: | 09/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 2101 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |