Healthcare Provider Details

I. General information

NPI: 1114038635
Provider Name (Legal Business Name): SARAH BRINDLE PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 03/04/2022
Certification Date: 03/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8335 W SUNSET BLVD STE 248
LOS ANGELES CA
90069-1556
US

IV. Provider business mailing address

5757 RAVENSPUR DR APT 37
RANCHO PALOS VERDES CA
90275-3555
US

V. Phone/Fax

Practice location:
  • Phone: 323-925-1262
  • Fax: 213-471-1993
Mailing address:
  • Phone: 323-251-9094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number20420
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPSY 20420
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: