Individual
DR. BRANDON WILLIAM MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD, MA
Contact information
Practice address
338 S DAKOTA AVE, VANDENBERG AFB, CA 93437-6307
(805) 606-8217
Mailing address
338 S DAKOTA AVE, VANDENBERG AFB, CA 93437-6307
(805) 606-8217
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
12540358-2501
UT
103TC0700X
Clinical Psychologist
668
WY
Other
Enumeration date
07/18/2011
Last updated
12/02/2024
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