Provider Demographics
NPI:1023729506
Name:VELASQUEZ, BRENDI LINDA ELNORA (RADT)
Entity type:Individual
Prefix:MS
First Name:BRENDI
Middle Name:LINDA ELNORA
Last Name:VELASQUEZ
Suffix:
Gender:F
Credentials:RADT
Other - Prefix:MS
Other - First Name:BRANDI
Other - Middle Name:LINDA ELNORA
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:904 MELLUS ST
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-1745
Mailing Address - Country:US
Mailing Address - Phone:925-229-0230
Mailing Address - Fax:
Practice Address - Street 1:904 MELLUS ST
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-1745
Practice Address - Country:US
Practice Address - Phone:925-229-0230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-06
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)