Pidermann, Brandy
Pidermann, Brandy is an individual health care provider with primary practice located at 5265 Sw 95Th Ave , Cooper City FL 33328-4144. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pidermann, Brandy can be contacted via phone (954) 710-7619.Contact Information
Primary practice address
5265 Sw 95Th Ave
Cooper City FL 33328-4144
Phone: (954) 710-7619
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1760991798 |
|---|---|
| LBN Legal business name | Pidermann, Brandy |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2017 |
| Last updated | Sep 25th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760991798 | NPPES |
| Florida | Other | SW14695 | STATE LICENSE |
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