Nyman, Brad K

Nyman, Brad K is an sole proprietor health care provider with primary practice located at 7355 Church St Ste A , Yucca Valley CA 92284-3273. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Nyman, Brad K can be contacted via phone (949) 294-8627.

Contact Information

Primary practice address
7355 Church St Ste A Yucca Valley CA 92284-3273
Phone: (949) 294-8627
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X X-06721 New Mexico
Behavioral Health & Social Service Providers / Professional 101YP2500X I-07957 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW63280 California

Profile Details

NPI number 1679807499
LBN Legal business name Nyman, Brad K
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2009
Last updated May 31st, 2024 - about 4 months 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 1679807499 NPPES
California MEDICAID 136275

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