Individual
BREANNA ELISABETH FENIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S, NCSP
Contact information
Practice address
998 GRIZZLY CUB DR, FRANKLIN, IN 46131-1375
(317) 346-8118
Mailing address
1150 EMERSON POINTE DR APT 1205, GREENWOOD, IN 46143-0064
(513) 334-9126
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10292475
IN
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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