Terri J Brenneman, PH.D.

NPI #1912282286 in Goshen, Indiana

Provider Information

NPI Number: 1912282286
Entity Type: Individual
Name: Terri J Brenneman, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PH.D.
Enumeration Date: Oct 18, 2011
Last Updated: Oct 18, 2011

Practice Location

Address: 1908 W LINCOLN AVE
City: Goshen
State: Indiana
ZIP Code: 46526-5907
Phone: (574) 534-6150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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