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DR. CHAD DAVID BRINDERSON PH.D.

Clinical Child & Adolescent >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1578641098

Individual Registrant:
DR. CHAD DAVID BRINDERSON PH.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
2401 PACIFIC COAST HWY STE 103  HERMOSA BEACH, CA 90254-2734 US
Tel: 310-291-0851  Fax: 310-782-3461

Contact information for business:
PO BOX 2061  MANHATTAN BEACH, CA 90267-2061 US
Tel: 310-291-0851  Fax: 310-782-3461

Registration Information:
NPI: 1578641098
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC2200XBehavioral Health & Social Service Providers
Psychologist
Clinical Child & Adolescent
CA15106

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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