Provider Demographics
NPI:1568268324
Name:THURMAN, BRANDIE MARIE
Entity type:Individual
Prefix:
First Name:BRANDIE
Middle Name:MARIE
Last Name:THURMAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3610 CENTRAL AVE STE 500
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-5907
Mailing Address - Country:US
Mailing Address - Phone:442-327-9311
Mailing Address - Fax:
Practice Address - Street 1:3610 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-5900
Practice Address - Country:US
Practice Address - Phone:442-327-9311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist