Brentzel, Phyllis Reams
Brentzel, Phyllis Reams is an sole proprietor health care provider with primary practice located at 12320 Route 30 Suites 4 & 6, North Huntingdon PA 15642-1872. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brentzel, Phyllis Reams can be contacted via phone (724) 863-6488.Contact Information
Primary practice address
12320 Route 30 Suites 4 & 6
North Huntingdon PA 15642-1872
Phone: (724) 863-6488
Fax: (724) 863-6488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS008841L | Pennsylvania |
Profile Details
| NPI number | 1093783607 |
|---|---|
| LBN Legal business name | Brentzel, Phyllis Reams |
| Credentials | PSY. D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Jul 1st, 2010 - about 14 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 | 1093783607 | NPPES |
| Pennsylvania | MEDICAID | 01778104 | |
| Pennsylvania | Other | 151034 | |
| Pennsylvania | Other | 349177 |
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