Mrs Philomena Kurzawe-breault, MA, TLLP, QBHP is a
Psychologist - Clinical based in Marysville, Michigan. Mrs Philomena Kurzawe-breault is licensed to practice in Michigan (license number 6362010031) and her current practice location is
195 Huron Blvd, Marysville, Michigan. She can be reached at her office (for appointments etc.) via phone at
(224) 498-9401.
NPI number for Mrs Philomena Kurzawe-breault is 1679105126 and her current mailing address is 1501 Krafft Rd, Fort Gratiot, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679105126.
Healthcare Provider's Profile
Full Name | Mrs Philomena Kurzawe-breault |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 195 Huron Blvd, Marysville, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679105126
- Provider Enumeration Date: 02/12/2020
- Last Update Date: 08/23/2024
Medical Identifiers
Medical identifiers for Mrs Philomena Kurzawe-breault such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679105126 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 6362010031 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Philomena Kurzawe-breault is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Philomena Kurzawe-breault, MA, TLLP, QBHP 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 Ph: (810) 985-5125 | Mrs Philomena Kurzawe-breault, MA, TLLP, QBHP 195 Huron Blvd, Marysville, MI 48040-1421 Ph: (224) 498-9401 |
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