Michele Brenneman, PH.D.
Psychologist · Ponte Vedra, FL
Practice location
460 Town Plaza AveSuite 230
Ponte Vedra, FL 32081-5139
- Phone
- (904) 671-6237
NPI record
- NPI
- 1922458686
- Entity type
- Individual (Type 1)
- Enumeration date
- June 14, 2016
- Last updated
- June 14, 2016
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X |
PY9335 | FL |
| Psychologist | 103T00000X |
003326 | GA |
About Dr. Brenneman
Michele Brenneman, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 460 Town Plaza Ave, Suite 230, Ponte Vedra, FL 32081-5139. The NPI number 1922458686 was assigned on June 14, 2016 and the record was last updated on June 14, 2016.
Dr. Brenneman lists 2 licenses in the registry: #PY9335 (FL) for Psychologist; #003326 (GA) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Michele Brenneman, PH.D.?
The NPI number is 1922458686.
What is the phone number of Dr. Brenneman?
The phone number listed for the practice location is (904) 671-6237.
Where is Dr. Brenneman located?
460 Town Plaza Ave, Suite 230, Ponte Vedra, FL 32081-5139.
What is the taxonomy code for Dr. Brenneman?
The primary taxonomy code is 103T00000X – Psychologist; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Psychologist providers in Ponte Vedra
- Parvonae Shaw, PSY.D.235 Village Grande Dr