Brandon, Antonius D

Brandon, Antonius D is an individual health care provider with primary practice located at 5887 Brockton Ave Riverside Psychiatric Medical Group Ste A, Riverside CA 92506. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Brandon, Antonius D can be contacted via phone (951) 275-8500.

Contact Information

Primary practice address
5887 Brockton Ave Riverside Psychiatric Medical Group Ste A Riverside CA 92506
Phone: (951) 275-8500
Fax: (951) 275-8560
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY12281 California

Profile Details

NPI number 1790889863
LBN Legal business name Brandon, Antonius D
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2006
Last updated Apr 29th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers