Provider Demographics
NPI:1063603819
Name:BRANDON, ANNA RACHEL (PHD)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:RACHEL
Last Name:BRANDON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF NORTH CAROLINA AT CHAPEL HL
Mailing Address - Street 2:DEPARTMENT OF PSYCHIATRY CB 7160
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7160
Mailing Address - Country:US
Mailing Address - Phone:919-966-5262
Mailing Address - Fax:919-966-7659
Practice Address - Street 1:110 CONNER DR
Practice Address - Street 2:SUITE 4
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-7044
Practice Address - Country:US
Practice Address - Phone:919-966-5262
Practice Address - Fax:919-929-0536
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC4081103TC0700X
TX33560103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical