Individual
DR. PHYLLIS REAMS BRENTZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
12320 ROUTE 30, SUITES 4 & 6, NORTH HUNTINGDON, PA 15642-1872
(724) 863-6488
(724) 863-6488
Mailing address
4480 PINE HOLLOW RD, TRAFFORD, PA 15085-9529
(724) 863-6488
(724) 863-6488
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS008841L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01778104
—
PA
01
—
151034
VAUEOPTIONS
PA
01
—
349177
MAGELLAN
PA
Enumeration date
03/09/2006
Last updated
07/01/2010
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