MS. DESIREE TERRY BRYAND NPI 1386033876

NPI Information

NPI: 1386033876
Provider Name: MS. DESIREE TERRY BRYAND
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
1950 ALAMEDA DE LAS PULGAS
SAN MATEO, CA
ZIP 94403
Phone: (650) 573-3571
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MS. Desiree Terry Bryand is a peer specialist in San Mateo, CA. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. MS. Desiree Terry Bryand NPI is 1386033876. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1950 ALAMEDA DE LAS PULGAS
SAN MATEO, CA
ZIP 94403-222
Phone: (650) 573-3571
Fax: (650) 572-9347

The enumeration date for this NPI number is 1/21/2015 and was last updated on 9/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	13860033876	CALIFORNIA	No
2	172V00000X	Community Health Worker		57216	CALIFORNIA	No
3	175T00000X	Peer Specialist			CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	57216	OTHER	CALIFORNIA	COMMUNITY WORKER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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