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Individual

ERIN ELIZABETH BRODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY D

Contact information

Practice address
15525 POMERADO RD, SUITE E3, POWAY, CA 92064
(858) 592-6644
(858) 592-6393
Mailing address
15525 POMERADO RD, SUITE E3, POWAY, CA 92064
(858) 592-6644
(858) 592-6393

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY20613
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6371936
CA
Enumeration date
08/08/2006
Last updated
07/08/2007
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