Provider Demographics
NPI:1144834847
Name:MEINDERSMA, BRENNA
Entity type:Individual
Prefix:
First Name:BRENNA
Middle Name:
Last Name:MEINDERSMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 PENNACOOK DR
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-4592
Mailing Address - Country:US
Mailing Address - Phone:603-401-8022
Mailing Address - Fax:
Practice Address - Street 1:45 MAIN ST STE 403
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:MA
Practice Address - Zip Code:01749-2260
Practice Address - Country:US
Practice Address - Phone:978-333-7426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-01
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health