Individual
BRENDA HEIDRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
270 , 26 TH STREET, SUITE 202, SANTA MONICA, CA 90402
(310) 748-8393
Mailing address
11387 THURSTON PLACE, LOS ANGELES, CA 90049
13107488393
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
29105
CA
Other
Enumeration date
06/12/2017
Last updated
06/12/2017
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