Provider Demographics
NPI:1114038635
Name:BRINDLE, SARAH (PHD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:BRINDLE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5757 RAVENSPUR DR APT 37
Mailing Address - Street 2:
Mailing Address - City:RANCHO PALOS VERDES
Mailing Address - State:CA
Mailing Address - Zip Code:90275-3555
Mailing Address - Country:US
Mailing Address - Phone:323-251-9094
Mailing Address - Fax:
Practice Address - Street 1:8335 W SUNSET BLVD STE 248
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90069-1556
Practice Address - Country:US
Practice Address - Phone:323-925-1262
Practice Address - Fax:213-471-1993
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20420103T00000X
CAPSY 20420103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103T00000XBehavioral Health & Social Service ProvidersPsychologist