Individual
BRIAN PATRICK EDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
2945 MCMILLAN AVE STE 240, SAN LUIS OBISPO, CA 93401-6771
(805) 439-4890
Mailing address
606 LARKFIELD PL, PASO ROBLES, CA 93446-4757
(805) 298-2380
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
31086
CA
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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