Provider Demographics
NPI:1831365931
Name:RAMBO-IGNEY, BRENDA C (ED D)
Entity type:Individual
Prefix:DR
First Name:BRENDA
Middle Name:C
Last Name:RAMBO-IGNEY
Suffix:
Gender:F
Credentials:ED D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7200 KEYNSHAM DR
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:TN
Mailing Address - Zip Code:37062-8153
Mailing Address - Country:US
Mailing Address - Phone:615-744-9141
Mailing Address - Fax:615-332-8939
Practice Address - Street 1:5115 MARYLAND WAY
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-7512
Practice Address - Country:US
Practice Address - Phone:615-445-7600
Practice Address - Fax:615-332-8939
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-08
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP992103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist