Provider Demographics
NPI:1295181402
Name:SYLVESTER, BRANDON (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:
Last Name:SYLVESTER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8031 DUNCAN RANCH LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1498
Mailing Address - Country:US
Mailing Address - Phone:832-754-6860
Mailing Address - Fax:
Practice Address - Street 1:723 MAIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-3311
Practice Address - Country:US
Practice Address - Phone:832-754-6860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-05
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36706103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist