Brandyberry, Payton

Brandyberry, Payton is an individual health care provider with primary practice located at 500 Columbia Rd, Mail Stop 415-05 Upham'S Corner Health Center, Dorchester MA 02125. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Brandyberry, Payton can be contacted via phone (617) 740-8165.

Contact Information

Primary practice address
500 Columbia Rd, Mail Stop 415-05 Upham'S Corner Health Center Dorchester MA 02125
Phone: (617) 740-8165
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6916 Massachusetts

Profile Details

NPI number 1174729743
LBN Legal business name Brandyberry, Payton
Credentials M.S., L.M.H.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2007
Last updated Apr 13th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174729743 NPPES
Massachusetts Other 6916 DIVISION OF PROFESSIONAL LICENSURE - ALLIED MENTAL HEALTH - L.M.H.C. LIC. NUMBER

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