Individual provider · NPI-1

Dr. Matthew Robert Brady, Psy.D.

Psychologist, School · Westminster, CA

NPI number1679716229
StatusActive
Last updated in NPPESApr 13, 2009

Details

NPI
1679716229
Entity type
Individual (NPI-1)
Name
Dr. Matthew Robert Brady
Credential
Psy.D.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 13, 2009
Last updated
Apr 13, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TS0200X Psychologist, School081039000CAYes
103TB0200X Psychologist, Cognitive & BehavioralPSB 34205CA

Practice location

13751 Milton Ave Apt C
Westminster, CA 92683-2928

Phone 714-330-4805 · Fax 714-622-5668

Mailing address

13751 Milton Ave Apt C
Westminster, CA 92683-2928

Phone 714-330-4805 · Fax 714-622-5668

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