Provider Demographics
NPI:1063622348
Name:LOREN, BRENDA PAPINCAK (PHD)
Entity type:Individual
Prefix:DR
First Name:BRENDA
Middle Name:PAPINCAK
Last Name:LOREN
Suffix:
Gender:F
Credentials:PHD
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Other - Credentials:
Mailing Address - Street 1:3200 BURNET AVE
Mailing Address - Street 2:3 SOUTH CREDENTIALING
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3019
Mailing Address - Country:US
Mailing Address - Phone:513-585-5503
Mailing Address - Fax:513-585-5511
Practice Address - Street 1:151 GALBRAITH ROAD
Practice Address - Street 2:DRAKE CENTER, DEPT. MED. PSYCHOLOGY & NEUROPSYCHOLOGY
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45216-1096
Practice Address - Country:US
Practice Address - Phone:513-418-2608
Practice Address - Fax:513-418-2618
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2014-05-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH6281103TC0700X
NC1915103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHLOCP33351Medicare PIN