1437311172 NPI number — DR. MICHELE KIELTY BRIGGS LPC

Table of content: DR. MICHELE KIELTY BRIGGS LPC (NPI 1437311172)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437311172 NPI number — DR. MICHELE KIELTY BRIGGS LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BRIGGS
Provider First Name:
MICHELE
Provider Middle Name:
KIELTY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437311172
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/25/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
JAMES MADISON UNIVERISTY
Provider Second Line Business Mailing Address:
GRADUATE PSYCHOLOGY MSC 7401
Provider Business Mailing Address City Name:
HARRISONBURG
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22807-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
540-568-2553
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
JAMES MADISON UNIVERISTY
Provider Second Line Business Practice Location Address:
GRADUATE PSYCHOLOGY MSC 7401
Provider Business Practice Location Address City Name:
HARRISONBURG
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22807-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-568-2553
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/25/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  3597 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)