Mayne, Brenda Lynn

Mayne, Brenda Lynn is an individual health care provider with primary practice located at 4011 Barbara Loop Se Ste. 103, Rio Rancho NM 87124-1039. 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 / Psychologist is her primary health care specialty. Mayne, Brenda Lynn can be contacted via phone (505) 238-7081.

Contact Information

Primary practice address
4011 Barbara Loop Se Ste. 103 Rio Rancho NM 87124-1039
Phone: (505) 238-7081
Fax: (505) 891-1768
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0785 New Mexico
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X

Profile Details

NPI number 1033235767
LBN Legal business name Mayne, Brenda Lynn
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Jul 9th, 2007 - about 17 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 1033235767 NPPES
New Mexico MEDICAID G2147

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