Individual
DR. BRIAN REDONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
655 FAIRTON MILLVILLE RD, FAIRTON, NJ 08320-2000
(856) 453-4078
Mailing address
106 NURSERY DR, GLASSBORO, NJ 08028-3114
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7595-PY-PR
MA
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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