Dr. Sean P Brannon, Ph.D., ABN
Psychologist, Clinical in Patton, CA. Individual provider (NPI-1).
NPI number1114178985
StatusActive
Last updated in NPPESMay 5, 2015
Details
- NPI
- 1114178985
- Entity type
- Individual (NPI-1)
- Name
- Dr. Sean P Brannon
- Credential
- Ph.D., ABN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 9, 2008
- Last updated
- May 5, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 21995 | CA | Yes |
| 103G00000X | Clinical Neuropsychologist | PSY21995 | CA | |
| 103TF0200X | Psychologist, Forensic | PSY21995 | CA |
Practice location
3102 E. Highland AvenueMedical Staff Office
Patton, CA 92369
Phone 909-425-7679 · Fax 909-425-6635
Mailing address
3102 E. Highland AvenueMedical Staff Office
Patton, CA 92369
Phone 909-425-7679 · Fax 909-425-6635
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