Provider Demographics
NPI:1225641251
Name:FRENCH, BRENDA (MA, EDD)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:
Last Name:FRENCH
Suffix:
Gender:F
Credentials:MA, EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 EXECUTIVE PARKWAY DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6302
Mailing Address - Country:US
Mailing Address - Phone:314-628-6500
Mailing Address - Fax:314-514-9916
Practice Address - Street 1:970 EXECUTIVE PARKWAY DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6302
Practice Address - Country:US
Practice Address - Phone:314-628-6500
Practice Address - Fax:314-514-9916
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-28
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO002661101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional