| Meredith Glick Brinegar, Phd, Llc | |
|
7071 Corporate Way Suite 110 Dayton OH 45459-8911 | |
| (937) 259-8594 | |
| Not Available |
| Full Name | Meredith Glick Brinegar, Phd, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 7071 Corporate Way, Dayton, Ohio |
| Authorized Official Name and Position | Meredith Glick Brinegar (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9372598594 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meredith Glick Brinegar, Phd, Llc 7071 Corporate Way Suite 110 Dayton OH 45459-8911 Ph: () - | Meredith Glick Brinegar, Phd, Llc 7071 Corporate Way Suite 110 Dayton OH 45459-8911 Ph: (937) 259-8594 |
| NPI Number | 1457717993 |
|---|---|
| Provider Enumeration Date | 01/13/2016 |
| Last Update Date | 01/13/2016 |
| Medicare PECOS PAC ID | 3476856550 |
|---|---|
| Medicare Enrollment ID | O20160122002070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457717993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6749 (Ohio) | Primary |
| Provider Name | Meredith G Brinegar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891090296 PECOS PAC ID: 7911134366 Enrollment ID: I20131211000603 |
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