Bryand, Desiree Terry
Bryand, Desiree Terry is an individual health care provider with primary practice located at 1950 Alameda De Las Pulgas , San Mateo CA 94403-1222. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Bryand, Desiree Terry can be contacted via phone (650) 573-3571.Contact Information
Primary practice address
1950 Alameda De Las Pulgas
San Mateo CA 94403-1222
Phone: (650) 573-3571
Fax: (650) 572-9347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 13860033876 | California |
| Other Service Providers / Community Health Worker | 172V00000X | 57216 | California |
| Other Service Providers / Peer Specialist | 175T00000X | California |
Profile Details
| NPI number | 1386033876 |
|---|---|
| LBN Legal business name | Bryand, Desiree Terry |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 21st, 2015 |
| Last updated | Sep 27th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386033876 | NPPES |
| California | Other | 57216 | COMMUNITY WORKER |
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