Individual
DR. ANDREA MARIA BRISENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
255 E BONITA AVE, POMONA, CA 91767-1933
(858) 602-7132
Mailing address
255 E BONITA AVE, POMONA, CA 91767-1933
(858) 602-7132
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
36375
CA
103TC0700X
Clinical Psychologist
36375
CA
Other
Enumeration date
09/22/2017
Last updated
12/03/2025
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