Brodeur, Emily Griffin
Brodeur, Emily Griffin is an individual health care provider with primary practice located at 524 E Iris Dr , Nashville TN 37204-3110. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Brodeur, Emily Griffin can be contacted via phone (615) 297-0430.Contact Information
Primary practice address
524 E Iris Dr
Nashville TN 37204-3110
Phone: (615) 297-0430
Fax: (615) 352-1420
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 000679 | Tennessee |
Profile Details
| NPI number | 1700825007 |
|---|---|
| LBN Legal business name | Brodeur, Emily Griffin |
| Credentials | LICENSED CLINICAL SO |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700825007 | NPPES |
| Other | 0171951000 | MAGELLAN | |
| MEDICAID | 3694828 | MAGELLAN | |
| Other | 4048148 | MAGELLAN |
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