Brandon, Larry J

Brandon, Larry J is an sole proprietor health care provider with primary practice located at 1575 W University Dr Ste 111 , Tempe AZ 85281-3283. He recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Mental Health. Agencies / Community/Behavioral Health is his primary health care specialty. Brandon, Larry J can be contacted via phone (480) 687-9009.

Contact Information

Primary practice address
1575 W University Dr Ste 111 Tempe AZ 85281-3283
Phone: (480) 687-9009
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CSLG12168 Arizona

Profile Details

NPI number 1023723475
LBN Legal business name Brandon, Larry J
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2023
Last updated Jan 19th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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