Individual
MARIANNE BRANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
MARIANNE BRANDON PHD, 25 WALNUT ST #202, WELLESLEY HILLS, MA 02481
(410) 280-3888
Mailing address
25 WALNUT ST STE 202, WELLESLEY HILLS, MA 02481-2105
(410) 280-3888
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2929
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10542
MA PSYCHOLOGY LICENSE
MA
Enumeration date
05/07/2018
Last updated
06/16/2018
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