Basic Information
| Provider Information | |||||||||
| NPI: | 1083960520 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STREUFERT | ||||||||
| FirstName: | BRINDI | ||||||||
| MiddleName: | KAY | ||||||||
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| Credential: | PSYD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1000, DEPT 978 | ||||||||
| Address2: | |||||||||
| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381480001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9017589900 | ||||||||
| FaxNumber: | 9017522335 | ||||||||
| Practice Location | |||||||||
| Address1: | 3725 CHAMPION HILLS DR STE 2000 | ||||||||
| Address2: | |||||||||
| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381250502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9013679001 | ||||||||
| FaxNumber: | 9015658787 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/02/2012 | ||||||||
| LastUpdateDate: | 09/24/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/24/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 3721 | TN | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical | 101YM0800X | 9345 | NE | N | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.