Individual
TERRI J BRENNEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1908 W LINCOLN AVE, GOSHEN, IN 46526-5907
(574) 534-6150
(574) 534-8139
Mailing address
1908 W LINCOLN AVE, GOSHEN, IN 46526-5907
(574) 534-6150
(574) 534-8139
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042219A
IN
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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