Organization
BRENDA HEIDRICH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA HEIRICH PHD (PSYCHOLOGIST)
(310) 748-8393
Entity
Organization
Contact information
Practice address
270 26TH ST STE 202, SANTA MONICA, CA 90402-2543
(319) 748-8393
Mailing address
11387 THURSTON PL, LOS ANGELES, CA 90049-2428
(310) 748-8393
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY29105
CA
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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