Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | P1536 | TN |
NPI | 1043436728 |
---|---|
Provider Name | Dr. Virginia Brinthaupt |
First Address | Murfreesboro, TN 37129-0027 |
Second Address | Murfreesboro, TN 37129-0574 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 08/07/2007 |