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Theodore Joseph Bemenderfer
Clinical Psychologist in Twentynine Palms, California
NPI 1780308197

Theodore Joseph Bemenderfer is a Clinical Psychologist based in Twentynine Palms, CA and is specialized in Clinical. Theodore Joseph Bemenderfer practices in Twentynine Palms, CA. The NPI Number for Theodore Joseph Bemenderfer is 1780308197 and holds a License No. (California).

The current practice location address for Theodore Joseph Bemenderfer is 1145 Sturgis Road, Twentynine Palms, CA and can be reached out via phone at 317-752-3134.

Location: 1145 Sturgis Road, Twentynine Palms, CA, 92277-9468
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780308197
Provider Name
Theodore Joseph Bemenderfer
Credential
Provider Entity Type
Individual
Gender
Male
Address
1145 Sturgis Road, Twentynine Palms, CA, 92277-9468
Phone Number
317-752-3134
Fax Number
Provider Enumeration Date
09/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1145 Sturgis Road
City
Twentynine Palms
State
California
Zip
92278
Phone Number
317-752-3134
Fax Number
person
Provider Business Mailing Address Details
Address
1145 Sturgis Road
City
Twentynine Palms
State
California
Zip
92278
Phone Number
317-752-3134
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
20043728A (Indiana)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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