Individual
MRS. LISA MARIE BRENTLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S
Contact information
Practice address
2411 PATHWAYS XING, BELLEVILLE, IL 62221-5885
(618) 355-4700
Mailing address
8443 SKYLINE DR, SAINT LOUIS, MO 63123-2118
(314) 757-4160
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1908815
IL
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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