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NPI Code Detail

MEDICARE: BRINDI KAY STREUFERT PSYD

MEDICARE: BRINDI KAY STREUFERT PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist3721TN
2101YM0800XMental Health Counselor9345NE

General Provider Information

NPI Number : 1083960520
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRINDI KAY STREUFERT PSYD
Provider Business Mailing Address
First Line : PO BOX 1000, DEPT 978
Second Line :
City : MEMPHIS
State : TN
Zip : 38148-0001
Country : US
Telephone Number : 901-758-9900
Fax Number : 901-752-2335
Provider Business Practice Location Address
First Line : 3725 CHAMPION HILLS DR STE 2000
Second Line :
City : MEMPHIS
State : TN
Zip : 38125-0502
Country : US
Telephone Number : 901-367-9001
Fax Number : 901-565-8787
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2012
Last Update Date : 09/24/2020

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