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Individual

DR. JEANNE BROCKMYER FUNK

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
2801 WEST BANCROFT, MS 948, TOLEDO, OH 43606-3390
(419) 530-4392
(419) 530-4392
Mailing address
2801 WEST BANCROFT, MS 948, TOLEDO, OH 43606-3390
(419) 530-4392
(419) 530-4392

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2732
OH
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2732
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0394747
OH
Enumeration date
06/07/2006
Last updated
09/11/2025
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