Antonius D Brandon in Riverside - Clinical Neuropsychologist
Antonius D Brandon - NPI 1790889863
Antonius D Brandon is a Clinical Neuropsychologist in Riverside, California. Antonius D Brandon practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Antonius D Brandon is 1790889863. The last update date is 2008-04-29.
Antonius D Brandon's current location address is 5887 Brockton Ave, Riverside, California. You can contact this provider via phone number 9512758500 and fax number 9512758560. The mailing address for Antonius D Brandon is 5887 Brockton Ave, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Antonius D Brandon |
|---|---|
| Address | 5887 Brockton Ave, Riverside, California |
| Phone Number | 9512758500 |
| Fax Number | 9512758560 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1790889863 |
|---|---|
| Provider Enumeration Date | 2006-09-11 |
| Last Updated Date | 2008-04-29 |
Provider Mailing Address Detail
| Address | 5887 Brockton Ave |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 92506 |
| Phone Number | 9512758500 |
| Fax Number | 9512758560 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | PSY12281 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Antonius D Brandon by the Centers for Medicare & Medicaid Services?
The Antonius D Brandon has been issued the NPI (National Provider Identifier) 1790889863, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Antonius D Brandon is geographically located?
The Antonius D Brandon is physically situated at the following location: 5887 Brockton Ave, Riverside, CA, 92506.
What is Antonius D Brandon's area of expertise and its corresponding taxonomy classification?
The Antonius D Brandon's field of specialization is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their areas of practice.
When was the Antonius D Brandon's 1790889863 issued?
The Antonius D Brandon's 1790889863 was issued on 2006-09-11.
As of what date were the details related to Antonius D Brandon most recently updated or revised?
The information pertaining to Antonius D Brandon, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-29.