Individual provider · Type 1 NPI
Mary Ellison Brouillard, PhD
Psychologist · Augusta, GA
Practice location
#1 Freedom Way (26)
Augusta, GA 30904-6285
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | 1425 (GA) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1487757720
Mary Ellison Brouillard, PhD's National Provider Identifier is 1487757720, issued on Sep 5, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Augusta, GA. The record was last updated on Jul 8, 2007.