Active NPI
Mary Elizabeth Bruzeau, M.A.
- Counselor
- Crowley, LA
National Provider Identifier
1194190439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6632
- Practice address
- 1325 Wright Ave Ste D
Crowley, LA 70526-2226 - Phone
- (337) 514-5181
- Fax
- (337) 514-5182
- NPI assigned
- Dec 12, 2015
- Last updated
- Jul 17, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6632 | LA | Primary |
Addresses
Primary practice location
1325 Wright Ave Ste D
Crowley, LA 70526-2226
Mailing address
105 Old Silo Rd
Rayne, LA 70578-2550
Phone (318) 267-5470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6632 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563321600000",
"number": "1194190439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 OLD SILO RD",
"city": "RAYNE",
"state": "LA",
"postal_code": "705782550",
"telephone_number": "318-267-5470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 WRIGHT AVE STE D",
"city": "CROWLEY",
"state": "LA",
"postal_code": "705262226",
"telephone_number": "337-514-5181",
"fax_number": "337-514-5182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUZEAU",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-12",
"last_updated": "2019-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "LA",
"license": "6632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crowley, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.