Provider Demographics
NPI:1598770257
Name:TOUSLEY, BRENDA BARNES (MS)
Entity Type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:BARNES
Last Name:TOUSLEY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:357 WYOGA LAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44224-1140
Mailing Address - Country:US
Mailing Address - Phone:330-678-2400
Mailing Address - Fax:330-673-3714
Practice Address - Street 1:2500 BRADY LAKE RD
Practice Address - Street 2:
Practice Address - City:RAVENNA
Practice Address - State:OH
Practice Address - Zip Code:44266-1610
Practice Address - Country:US
Practice Address - Phone:330-678-2400
Practice Address - Fax:330-673-3714
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHSP309103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool