Terri J Brenneman, PHD - Psychologist in Goshen, IN

Terri J Brenneman, PHD is a Psychologist - Clinical based in Goshen, Indiana. Terri J Brenneman is licensed to practice in Indiana (license number 20042219A) and her current practice location is 1908 W Lincoln Ave, Goshen, Indiana. She can be reached at her office (for appointments etc.) via phone at (574) 534-6150.

NPI number for Terri J Brenneman is 1912282286 and her current mailing address is 1908 W Lincoln Ave, Goshen, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912282286.

Contact Information

Terri J Brenneman, PHD
1908 W Lincoln Ave,
Goshen, IN 46526-5907
(574) 534-6150
(574) 534-8139

Map and Direction




Healthcare Provider's Profile

Full NameTerri J Brenneman
GenderFemale
SpecialityPsychologist - Clinical
Location1908 W Lincoln Ave, Goshen, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1912282286
  • Provider Enumeration Date: 10/18/2011
  • Last Update Date: 10/18/2011

Medical Identifiers

Medical identifiers for Terri J Brenneman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912282286NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 20042219A (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Terri J Brenneman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Terri J Brenneman, PHD
1908 W Lincoln Ave,
Goshen, IN 46526-5907

Ph: (574) 534-6150
Terri J Brenneman, PHD
1908 W Lincoln Ave,
Goshen, IN 46526-5907

Ph: (574) 534-6150

Reviews and Comments


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