NPI 1295748986 · live from the CMS NPI Registry
Jennifer R Brendle, PHD
Psychologist, Clinical in Omaha, NE. National Provider Identifier 1295748986, active.
NPI record
| NPI | 1295748986 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 3223 N 169th St, Omaha, NE 68116 |
| Practice phone | 402-980-3234 |
| Mailing address | 7318 Wyoming St, Omaha, NE 68122 |
| Enumerated | August 14, 2006 |
| Last updated | March 30, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 649 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.