DR. BRENDA H. SPENCE (NPI# 1801825179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801825179 |
| Entity Type | Individual |
| Full Name | DR. BRENDA H. SPENCE |
| Credential | PH.D. |
| Practice Address |
201 S. Division St. Bristol IN 46507-0275 |
| Mailing Address |
Po Box 756 Bristol IN 46507-0756 |
| Practice Telephone | 5748480347 |
| Practice Fax Number | 5748485231 |
| Mailing Telephone | 5748487305 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2009-11-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
20040650 | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 20033927A | 05 | |
| IN | MEDICARE PTAN | 181900 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083993505 | Brenda Spence | Rehabilitation Practitioner | 7613 Botany Bay Dr, Suite E-120, Las Vegas, NV 89128-7239 | 2011-08-15 |
| Street Address |
201 S. DIVISION ST. |
| City | BRISTOL |
| State | IN |
| Zip Code | 46507-0275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275757643 | Adec - Village Men | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 19816 State Road 120 #3, Bristol, IN 46507 | 2007-04-13 |
| 1295839462 | Hardings Markets-west Inc | Pharmacy | 300 East Elkhart St, Bristol, IN 46507 | 2006-09-11 |
| 1831166362 | Daniel J Berger | Family Medicine | 304 E Vistula St, Bristol, IN 46507 | 2006-03-03 |
| 1346765146 | Mackenzie Shireman | Registered Nurse | 304 E Vistula St, Bristol, IN 46507 | 2017-08-14 |
| 1023307014 | Adec Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19670 State Road 120, Bristol, IN 46507-0398 | 2011-03-31 |
| 1114216108 | Adec Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19670 State Road 120, Bristol, IN 46507-0398 | 2011-03-31 |
| 1982879474 | Adec Inc | Community Based Residential Treatment Facility, Mental Illness | 19670 State Road 120, Bristol, IN 46507-0398 | 2008-04-25 |
| 1780756676 | David M Brilliandt | Dentist | 220 Bloomingdale, Bristol, IN 46507-8405 | 2006-11-15 |
| 1144517780 | Angel Dailey | Licensed Practical Nurse | 13350 Vistula Dr, Bristol, IN 46507-8511 | 2011-07-04 |
| 1669471884 | Regional Home Health Care Inc | Home Health | 3367 Bridgetown Rd, Bristol, IN 46507-8765 | 2005-07-19 |
| Find all providers in zip 46507 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
| 1689733644 | Rexford Forrest Burnette | Psychologist | 5 Pleasant St., Suite A, Bristol, NH 03222-3002 | 2006-12-06 |
| 1982775821 | Gary Austin Wishart | Psychologist | 601 Volunteer Parkway, Suite G, Bristol, TN 37620 | 2006-11-13 |
| 1245631662 | Stephanie Milan | Psychologist | 22 Pine St, Suite 205, Bristol, CT 06010-6948 | 2014-09-05 |
| 1811065980 | Ronald Woodrow Brill II | Psychologist | 800 Euclid Ave, Bristol, VA 24201-3916 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196842 | Ariel C Breaux | Psychologist | 800 Bus Stop Dr, Madison, IN 47250 | 2020-08-28 |
| 1841816048 | Christina E Maxwell Phd | Psychologist | 6337 Hollister Driive, Suite 101, Indianapolis, IN 46224-2996 | 2020-06-23 |
| 1154942340 | Craig Allan Nordstrom | Psychologist | 111 E Clearwater Ave, Beverly Shores, IN 46301-0056 | 2020-04-29 |
| 1164052791 | Kadlec Consulting Services, LLC | Psychologist | 5525 Oak Valley Pl, Fort Wayne, IN 46845-1836 | 2020-01-23 |
| 1568001469 | Monica Anne Cotter | Psychologist | Adam Benjamin Jr. Va Outpatient Clinic, 9301 Madison, Crown Point, IN 46307-4630 | 2019-12-26 |
| 1417505538 | John Pierre Rudy | Psychologist | 3464 Cinnamon Trce, Kokomo, IN 46901-3981 | 2019-09-02 |
| 1265995500 | Jamie Garvey | Psychologist | Saint Liam Hall, 220 Main Buildig, Notre Dame, IN 46556 | 2019-04-12 |
| 1902362619 | Geoffrey Edwards Buck | Psychologist | 9245 N Meridian St # 111, Indianapolis, IN 46260-1836 | 2019-02-18 |
| 1447722483 | Steven James Eckert | Psychologist | 4700 Bureau Rd N, Terre Haute, IN 47802-8246 | 2018-12-31 |
| 1215403167 | Sean Kristen Jones | Psychologist | 11725 N Illinois St Ste 355, Carmel, IN 46032-3009 | 2018-10-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. BRENDA H. SPENCE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.