Individual
DR. KENNETH LEE BRYNJOLFSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
504 TURQUOISE CT, REDDING, CA 96003-3343
(530) 604-4192
(530) 243-6247
Mailing address
504 TURQUOISE CT, REDDING, CA 96003-3343
(530) 604-4192
(530) 243-6247
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
PSY 3938
CA
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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