Healthcare Provider Details

I. General information

NPI: 1578138186
Provider Name (Legal Business Name): MEREDITH BRANDSTETTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2021
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 3175
ORANGEVALE CA
95662-7407
US

IV. Provider business mailing address

PO BOX 3175
ORANGEVALE CA
95662-7407
US

V. Phone/Fax

Practice location:
  • Phone: 818-275-1342
  • Fax:
Mailing address:
  • Phone: 818-275-1342
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number152476
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: