Individual
DR. BRENNA AILIENE CHOLERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
9600 VETERANS DR SW, GRECC-A-182, TACOMA, WA 98493-0003
(253) 582-8440
(253) 589-4073
Mailing address
20 RAFT ISLAND DR NW, GIG HARBOR, WA 98335-5918
(253) 582-8440
(253) 589-4073
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY2589
WA
103TC0700X
Clinical Psychologist
PY2589
WA
Other
Enumeration date
09/06/2006
Last updated
11/08/2013
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