Deere, Brenda Runyon

Deere, Brenda Runyon is an individual health care provider with primary practice located at 14466 Reflection Lakes Dr , Fort Myers FL 33907-1806. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Deere, Brenda Runyon can be contacted via phone (239) 791-8679.

Contact Information

Primary practice address
14466 Reflection Lakes Dr Fort Myers FL 33907-1806
Phone: (239) 791-8679
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1720034440
LBN Legal business name Deere, Brenda Runyon
Credentials MA, LPA, CPLC, CPWLC
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Aug 21st, 2012 - about 13 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 1720034440 NPPES
North Carolina Other 2251 PSYCHOLOGY LICENSE NUMBER
North Carolina MEDICAID 6107167 PSYCHOLOGY LICENSE NUMBER

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