Individual
RHEA BRANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LEP
Contact information
Practice address
4185 BLACKHAWK PLAZA CIR, SUITE 210, DANVILLE, CA 94506-4694
(925) 648-4800
(925) 648-2530
Mailing address
PO BOX 1613, DANVILLE, CA 94526-6613
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
LEP 2801
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LEP 2801
STATE LICENSE
CA
Enumeration date
09/14/2007
Last updated
09/14/2007
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