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NPI Code Detail

MEDICARE: DR. BRENDA FAYE PINKERMAN PH.D.

MEDICARE: DR. BRENDA FAYE PINKERMAN PH.D.
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
1103TH0004XHealth PsychologistPY8098FL
2103TC0700XClinical PsychologistPY8098FL

General Provider Information

NPI Number : 1538250493
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRENDA FAYE PINKERMAN PH.D.
Provider Business Mailing Address
First Line : 9739 FOX HOLLOW RD
Second Line :
City : TAMPA
State : FL
Zip : 33647-1831
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7814 N DALE MABRY HWY
Second Line :
City : TAMPA
State : FL
Zip : 33614-3220
Country : US
Telephone Number : 813-397-5300
Fax Number : 813-405-3938
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 11/09/2022

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