Benedict, Breanne
Benedict, Breanne is an individual health care provider with primary practice located at 2185 W Grant Line Rd , Tracy CA 95377-7309. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Benedict, Breanne can be contacted via phone (209) 839-6299.Contact Information
Primary practice address
2185 W Grant Line Rd
Tracy CA 95377-7309
Phone: (209) 839-6299
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 30435 | California |
Profile Details
NPI number | 1992104715 |
---|---|
LBN Legal business name | Benedict, Breanne |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 18th, 2014 |
Last updated | Jan 3rd, 2022 - 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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