Maynard, Brandon William

Maynard, Brandon William is an individual health care provider with primary practice located at 2526 Seymour Ave , Cheyenne WY 82001. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Maynard, Brandon William can be contacted via phone (307) 634-9653.

Contact Information

Primary practice address
2526 Seymour Ave Cheyenne WY 82001
Phone: (307) 634-9653
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 668 Wyoming

Profile Details

NPI number 1114215746
LBN Legal business name Maynard, Brandon William
Credentials PSYD, MA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2011
Last updated Jul 26th, 2018 - 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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