Brenes, Gretchen Anne

Brenes, Gretchen Anne is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Adult Development & Aging. Behavioral Health & Social Service Providers / Adult Development & Aging is her primary health care specialty. Brenes, Gretchen Anne can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
Medical Center Blvd Winston Salem NC 27157-0001
Phone: (336) 716-2255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2614 North Carolina
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 2614 North Carolina

Profile Details

NPI number 1972587921
LBN Legal business name Brenes, Gretchen Anne
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated May 4th, 2017 - about 7 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 1972587921 NPPES
North Carolina MEDICAID 6000436
North Carolina Other 045CT
North Carolina Other 98151

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