Berdequez, Loren

Berdequez, Loren is an individual health care provider with primary practice located at 8680 Hospital Way , Manassas VA 20110-4287. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Berdequez, Loren can be contacted via phone (703) 369-8055.

Contact Information

Primary practice address
8680 Hospital Way Manassas VA 20110-4287
Phone: (703) 369-8055
Fax: (703) 369-8565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904005251 Virginia

Profile Details

NPI number 1134112402
LBN Legal business name Berdequez, Loren
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Jul 8th, 2007 - about 17 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 1134112402 NPPES
Virginia MEDICAID N/A

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