IndividualActive
Antonius Brandon, PHD
NPI 1790889863 · Clinical Neuropsychologist · Riverside, CA
Provider details
- NPI number
- 1790889863
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- PSY12281 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
5887 Brockton Ave
Riverside Psychiatric Medical Group Ste a
Riverside, CA 92506
Phone: (951) 275-8500
Fax: (951) 275-8560
Approximate (ZIP-level) locationGet directions
Mailing address
5887 Brockton Ave
Riverside, CA 92506
Registry dates
- Enumerated
- 2006-09-11
- Last updated
- 2008-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.