Kolenbrander, Brandy Tina
Kolenbrander, Brandy Tina is an individual health care provider with primary practice located at 819 Ritchie Highway Suite 1020 , Severna Park MD 21146. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kolenbrander, Brandy Tina can be contacted via phone (410) 431-5111.Contact Information
Primary practice address
819 Ritchie Highway Suite 1020
Severna Park MD 21146
Phone: (410) 431-5111
Fax: (410) 431-5112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 10668 | Maryland |
Profile Details
| NPI number | 1881789774 |
|---|---|
| LBN Legal business name | Kolenbrander, Brandy Tina |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | May 3rd, 2021 - about 4 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 | 1881789774 | NPPES |
| Maryland | MEDICAID | 033881800 |
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