DR. Michele Brenneman, PH.D.

NPI #1922458686 in Ponte Vedra, Florida

Provider Information

NPI Number: 1922458686
Entity Type: Individual
Name: DR. Michele Brenneman, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Jun 14, 2016
Last Updated: Jun 14, 2016

Practice Location

Address: 460 TOWN PLAZA AVE
Address 2: SUITE 230
City: Ponte Vedra
State: Florida
ZIP Code: 32081-5139
Phone: (904) 671-6237

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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