Individual
DR. BRISA ANNA PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
16647 E BENBOW ST, COVINA, CA 91722-2407
(626) 756-5599
Mailing address
16647 E BENBOW ST, COVINA, CA 91722-2407
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35070
CA
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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