Tammy Jo Brazeal, PHD is a
Psychologist - Clinical based in Crane, Missouri. Tammy Jo Brazeal is licensed to practice in Missouri (license number 1999139460) and her current practice location is
102 Lillian, Crane, Missouri. She can be reached at her office (for appointments etc.) via phone at
(417) 766-6996.
NPI number for Tammy Jo Brazeal is 1427054212 and her current mailing address is 6363 South Farm Road 35, Billings, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427054212.
Healthcare Provider's Profile
Full Name | Tammy Jo Brazeal |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 102 Lillian, Crane, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1427054212
- Provider Enumeration Date: 06/27/2005
- Last Update Date: 04/13/2010
Medical Identifiers
Medical identifiers for Tammy Jo Brazeal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427054212 | NPI | - | NPPES |
494806516 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 1999139460 (Missouri) | 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. Tammy Jo Brazeal 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 |
Tammy Jo Brazeal, PHD 6363 South Farm Road 35, Billings, MO 65610-9407 Ph: (417) 766-6996 | Tammy Jo Brazeal, PHD 102 Lillian, Crane, MO 65633-9103 Ph: (417) 766-6996 |
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