Individual
MRS. ADDISON BRENDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDS, NCSP, LEP
Contact information
Practice address
800 MARYLIN AVE, LIVERMORE, CA 94551-6514
(925) 606-4724
Mailing address
5548 IDLEWILD AVE, LIVERMORE, CA 94551-1130
(916) 218-8816
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4300
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4300
BOARD OF BEHAVIORAL SCIENCES
CA
Enumeration date
11/07/2024
Last updated
11/07/2024
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