Individual
DR. BRENDA OSORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1339 20TH ST, SANTA MONICA, CA 90404-2033
(310) 829-8708
(310) 829-8455
Mailing address
1339 20TH ST, SANTA MONICA, CA 90404-2033
(310) 829-8921
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
33086
CA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY33086
CA
225C00000X
Rehabilitation Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2018
Last updated
12/23/2021
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