Peyton, Renee Deyette

Peyton, Renee Deyette is an sole proprietor health care provider with primary practice located at 14120 Beach Blvd Suite 213, Westminster CA 92683-4454. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Peyton, Renee Deyette can be contacted via phone (714) 898-9040.

Contact Information

Primary practice address
14120 Beach Blvd Suite 213 Westminster CA 92683-4454
Fax: (714) 894-3083
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 069713-1 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 27341 California

Profile Details

NPI number 1811014137
LBN Legal business name Peyton, Renee Deyette
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2007
Last updated Aug 27th, 2013 - 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 1811014137 NPPES
New York MEDICAID 00639496

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