Marythelma Brainard


Address: 3117 10th St Nw, Albuquerque, NM 87107-1114
Phone: 5052427671

Marythelma Brainard (NPI# 1124187075, PAC ID# 8527020007) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1124187075
PAC ID by PECOS 8527020007
Professional Enrollment ID I20041027000784
Full Name Marythelma Brainard
Address 3117 10th St Nw
Albuquerque
NM 87107-1114
Phone Number 5052427671
Gender F
Credential CP
Graduation Year 1984
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
3117 10th St Nw, Albuquerque, NM 87107-1114 5052427671

Organization Information

Office Location

Street Address 3117 10TH ST NW
City ALBUQUERQUE
State NM
Zip 87107-1114

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Competitor

Search similar physicians

City ALBUQUERQUE
Zip Code 87107
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty ALBUQUERQUE + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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