Vactor, Brenda

Vactor, Brenda is an individual health care provider with primary practice located at 3007 Memorial Pkwy Sw # Sx , Huntsville AL 35801-5393. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Vactor, Brenda can be contacted via phone (256) 882-2003.

Contact Information

Primary practice address
3007 Memorial Pkwy Sw # Sx Huntsville AL 35801-5393
Phone: (256) 882-2003
Fax: (256) 705-4630
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1692C Alabama

Profile Details

NPI number 1063420644
LBN Legal business name Vactor, Brenda
Credentials LCSW, PIP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Mar 7th, 2017 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063420644 NPPES
Alabama Other 1063420644 ALLKIDS
Alabama Other 1063420644 ALLKIDS
Alabama Other 1063420644 ALLKIDS
Alabama Other 1063420644 ALLKIDS
Alabama Other 1063420644 ALLKIDS
Alabama Other 1063420644 ALLKIDS
Alabama Other 1063420644 ALLKIDS

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