Provider Demographics
NPI:1750693008
Name:SHORKEND, BRENDA (MA)
Entity type:Individual
Prefix:MS
First Name:BRENDA
Middle Name:
Last Name:SHORKEND
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1760 ORANGEWOOD ST
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-3521
Mailing Address - Country:US
Mailing Address - Phone:626-405-1943
Mailing Address - Fax:
Practice Address - Street 1:1760 ORANGEWOOD ST
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-3521
Practice Address - Country:US
Practice Address - Phone:626-405-1943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-01
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist