Theodore Joseph Bemenderfer
Theodore Joseph Bemenderfer is a Student in an Organized Health Care Education/Training Program in Twentynine Palms, California. Practices as a sole proprietor. Licensed in Indiana.
- Licensed in
- IN
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
Twentynine Palms, CANo coordinates on file. Search this address in Google Maps
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence 20043728A (IN) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1780308197 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 29, 2022 |
| Last updated in NPPES | August 8, 2023 |
| Certification date | August 8, 2023 |
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