Individual
DR. BRENDA L. WOLFE
Active
Individual
DR. BRENDA L. WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0790
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A9807
—
NM
01
—
010642518
WPS TRICARE
NM
01
—
1A7168
MEDICARE
NM
01
—
NM00JA81
BC/BS
NM
Enumeration date
07/21/2005
Last updated
12/14/2022
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