Organization
BRD PROFESSIONAL PSYCHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDEL DOSS PHD (OWNER)
(817) 217-5180
Entity
Organization
Contact information
Practice address
3617 W PIONEER PKWY STE 100, PANTEGO, TX 76013-4504
(814) 217-5180
Mailing address
3617 W PIONEER PKWY STE 100, PANTEGO, TX 76013-4504
(814) 217-5180
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
06/27/2017
Last updated
11/10/2024
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