Individual
KRISTINE LYNN BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
345 SAXONY RD, SUITE 102, ENCINITAS, CA 92024-2787
(760) 420-4045
(760) 632-8875
Mailing address
1936 HUMMOCK LN, ENCINITAS, CA 92024-1908
(760) 436-9268
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
19375
CA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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