Provider Demographics
NPI:1871057042
Name:BRAME PSYCHOLOGICAL ASSESSMENT CENTER
Entity type:Organization
Organization Name:BRAME PSYCHOLOGICAL ASSESSMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:BRAME
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:502-396-0637
Mailing Address - Street 1:2419 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42001-3112
Mailing Address - Country:US
Mailing Address - Phone:502-396-0637
Mailing Address - Fax:
Practice Address - Street 1:RAY AND KAY ECKSTEIN OUTREACH CENTER
Practice Address - Street 2:435 BERGER RD
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003
Practice Address - Country:US
Practice Address - Phone:502-396-0637
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-22
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty