Provider Demographics
NPI:1093130452
Name:THURNHER, BRENDA (MED, EDS CERT)
Entity Type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:
Last Name:THURNHER
Suffix:
Gender:F
Credentials:MED, EDS CERT
Other - Prefix:MISS
Other - First Name:BRENDA
Other - Middle Name:
Other - Last Name:MAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:123 REDBUD DR
Mailing Address - Street 2:
Mailing Address - City:BEAVER FALLS
Mailing Address - State:PA
Mailing Address - Zip Code:15010-1152
Mailing Address - Country:US
Mailing Address - Phone:412-328-9270
Mailing Address - Fax:
Practice Address - Street 1:13093 STATE ROUTE 7
Practice Address - Street 2:
Practice Address - City:LISBON
Practice Address - State:OH
Practice Address - Zip Code:44432-9559
Practice Address - Country:US
Practice Address - Phone:330-385-6831
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-21
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH3117083103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool