Most Relevant Information
Provider Data
| NPI Number: | 1003569989 |
| Provider Name: | BRANDON LANDRY PSYD |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | PSY004572 |
Most Important Dates
| Enumeration Date: | 01/31/2022 |
| Last Updated: | 01/31/2022 |
Provider Practice Location
10475 MEDLOCK BRIDGE RD STE 205
DULUTH
GA
300974446
Practice Location Phone/Fax
| Phone: | 6783793781 |
| Fax: |
Provider Mailing Location
1686 DUNTON GREEN WAY
LAWRENCEVILLE
GA
300437531
Provider Mailing Phone/Fax
| Phone: | 2392474699 |
| Fax: |