Individual
BREANNA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
820 N AMERICAN ST, STOCKTON, CA 95202-1824
(209) 787-9727
Mailing address
1109 W LOCUST ST, LODI, CA 95240-1822
(209) 294-8085
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
230213958
CA
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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