Individual
BRANDON DEAREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
121 W VICTORIA ST, LONG BEACH, CA 90805-2162
(310) 603-1050
Mailing address
2093 KIRKMAN DR, BIRMINGHAM, AL 35242-4639
(205) 848-2750
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2020
AL
Other
Enumeration date
08/01/2012
Last updated
03/18/2020
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