Jennifer G Brandt, PSYD | |
3558 Round Barn Blvd, Santa Rosa, CA 95403-1780 | |
(707) 571-4000 | |
Not Available |
Full Name | Jennifer G Brandt |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 3558 Round Barn Blvd, Santa Rosa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700943123 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PSY19901 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Jennifer G Brandt, PSYD 401 Bicentennial Way, Santa Rosa, CA 95403-2149 Ph: (707) 571-4000 | Jennifer G Brandt, PSYD 3558 Round Barn Blvd, Santa Rosa, CA 95403-1780 Ph: (707) 571-4000 |
Jessica Lynn Allen, RAS #M0605161317 Counselor Medicare: Not Enrolled in Medicare Practice Location: 2403 Professional Dr, Suite 101, Santa Rosa, CA 95403 Phone: 707-544-3295 Fax: 707-544-9011 | |
Patricia R Nelson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1430 Neotomas Ave, Santa Rosa, CA 95405 Phone: 707-565-6971 | |
Jose Louis Safont, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1300 Coddingtown Ctr, Santa Rosa, CA 95401 Phone: 707-565-7641 | |
Michelle Lyn Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 144 S E St, Suite 200, Santa Rosa, CA 95404 Phone: 707-529-6270 | |
Paul Cesar Gonzalez Hernandez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1207 Cleveland Ave., Santa Rosa, CA 95401 Phone: 707-571-2215 | |
Chelsea Gollob, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2230 Professional Dr Ste A, Santa Rosa, CA 95403 Phone: 707-483-9061 | |
Lisa Carter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 534 B St, Santa Rosa, CA 95401 Phone: 650-271-0376 |