Individual
JANA GEORGEANNE BREMENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP
Contact information
Practice address
9100 W 74TH ST, MERRIAM, KS 66204-4004
(913) 789-3218
(913) 789-3213
Mailing address
7311 HAUSER DR, SHAWNEE, KS 66216-4137
(913) 271-4210
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
207
KS
103TS0200X
School Psychologist
2798185866
KS
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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