Brudos, Ginger

Brudos, Ginger is an individual health care provider with primary practice located at 725 Welch Rd , Palo Alto CA 94304-1601. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Brudos, Ginger can be contacted via phone (650) 723-4000.

Contact Information

Primary practice address
725 Welch Rd Palo Alto CA 94304-1601
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PSY15158 California

Profile Details

NPI number 1689709537
LBN Legal business name Brudos, Ginger
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Nov 30th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689709537 NPPES
California MEDICAID PSY151580

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