Edward Brackenbury, MFT

NPI 1164728309 · on the registry since 2011 · sole proprietor

Practice

Address: 1220 University Dr
Menlo Park, CA 94025
Phone: (659) 324-0619
Fax: (650) 327-9521
Organisation at this address: Meridian Medicine Llc
Accident And Injury Center
Meridian Acupuncture, Inc.
Peninsula Associates Speech Therapy Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 43

Registry record

Primary taxonomy: 106H00000X
106H00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-02-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California