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General NPI Number Information
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NPI Number | 1912108150
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Entity Type | Organization
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Legal Business Name | BARBARA J. BRANDT, PH.D., INC.
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 851 FREMONT AVE SUITE 210
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City | LOS ALTOS
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State | CA
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Zip | 94024-5698
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Country | US
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Telephone | 650-941-1535
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Fax | 650-949-2033
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Provider Business Mailing Address
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Address Line | 851 FREMONT AVE SUITE 210
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City | LOS ALTOS
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State | CA
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Zip | 94024-5698
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Country | US
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Telephone | 650-941-1535
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Fax | 650-949-2033
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Authorized Official
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Title or Position | OWNER
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Name | DR. BARBARA J. BRANDT
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Credential | PH.D.
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Telephone | 650-941-1535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PSY 9048
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License Number State | CA
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