Provider Demographics
NPI:1801060520
Name:PARKINSON, BRENDA ELIZABETH (LMFT)
Entity type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:ELIZABETH
Last Name:PARKINSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18097 CHIEFTAIN CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127-3118
Mailing Address - Country:US
Mailing Address - Phone:858-652-8537
Mailing Address - Fax:619-956-0153
Practice Address - Street 1:9968 HIBERT ST
Practice Address - Street 2:SUITE 101
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131-1035
Practice Address - Country:US
Practice Address - Phone:858-652-8537
Practice Address - Fax:619-466-2609
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-14
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45478106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist