Dr. Brian Redondo, PSYD
Psychologist, Clinical in Fairton, New Jersey
1063902641- Practice location
- 655 Fairton Millville RD, Fairton, NJ 08320-2000
- Phone
- 856-453-4078
- Fax
- —
- Last updated
- May 18, 2018
Brian Redondo is a Psychologist, Clinical based in Fairton, NJ. Brian Redondo practices in Fairton, NJ and has the professional credentials of PSYD. The NPI Number for Brian Redondo is 1063902641 and holds a License No. 7595-PY-PR (MA). The current practice location address for Brian Redondo is 655 Fairton Millville RD, Fairton, NJ 08320-2000 and can be reached out via phone at 856-453-4078.
Provider Profile Details
- NPI Number
- 1063902641
- Provider Name
- Brian Redondo
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 655 Fairton Millville RD, Fairton, NJ 08320-2000
- Phone Number
- 856-453-4078
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 18, 2018
- Last Update Date
- May 18, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 655 Fairton Millville RD
Fairton, NJ 08320-2000 - City
- Fairton
- State
- New Jersey
- Zip
- 08320-2000
- Phone Number
- 856-453-4078
Provider Business Mailing Address Details
- Address
- 106 Nursery Dr
Glassboro, NJ 08028-3114 - City
- Glassboro
- State
- NJ
- Zip
- 08028-3114
License Information
- License Number
- 7595-PY-PR
- License State
- MA
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical providers near Fairton, NJ
View all Psychologist, Clinical providers in Fairton →Frequently Asked Questions
What is the NPI number of Dr. Brian Redondo, PSYD?
The NPI number of Dr. Brian Redondo, PSYD is 1063902641. It was assigned on May 18, 2018 and is currently active in the NPPES registry.
What is the specialty of Dr. Brian Redondo, PSYD?
Dr. Brian Redondo, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 7595-PY-PR.
Where does Dr. Brian Redondo, PSYD practice?
The practice location is 655 Fairton Millville RD, Fairton, NJ 08320-2000. The office can be reached at 856-453-4078 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063902641 directly on the NPPES registry website.