Burch-Brown, Mary Elizabeth

Burch-Brown, Mary Elizabeth is an sole proprietor health care provider with primary practice located at 708 Mobjack Pl , Newport News VA 23606-1957. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Burch-Brown, Mary Elizabeth can be contacted via phone (757) 873-1958.

Contact Information

Primary practice address
708 Mobjack Pl Newport News VA 23606-1957
Phone: (757) 873-1958
Fax: (757) 873-2143
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810001438 Virginia

Profile Details

NPI number 1790735025
LBN Legal business name Burch-Brown, Mary Elizabeth
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2006
Last updated Jan 26th, 2015 - about 11 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 1790735025 NPPES
Virginia MEDICAID 68000250

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