Healthcare Provider Details

I. General information

NPI: 1811415037
Provider Name (Legal Business Name): BRENDA LEE SINGH MA, AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2017
Last Update Date: 09/30/2024
Certification Date: 09/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 PLUMAS ST
YUBA CITY CA
95991-4437
US

IV. Provider business mailing address

809 PLUMAS ST
YUBA CITY CA
95991-4437
US

V. Phone/Fax

Practice location:
  • Phone: 530-822-7478
  • Fax: 530-822-7484
Mailing address:
  • Phone: 530-822-7478
  • Fax: 530-822-7484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number146356
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: