Breakey, Beverly M
Breakey, Beverly M is an sole proprietor health care provider with primary practice located at 1420 W Kettleman Ln Ste R, Lodi CA 95242. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Breakey, Beverly M can be contacted via phone (209) 334-2053.Contact Information
Primary practice address
1420 W Kettleman Ln Ste R
Lodi CA 95242
Phone: (209) 334-2053
Fax: (209) 334-4149
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFC30755 | California |
Profile Details
NPI number | 1417120767 |
---|---|
LBN Legal business name | Breakey, Beverly M |
Credentials | LMFT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 8th, 2008 |
Last updated | Apr 8th, 2008 - about 16 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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