Provider Demographics
NPI:1669877973
Name:FELDERHOFF, BRANDI JEAN (PHD, LCSW-S, APHSW-C)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:JEAN
Last Name:FELDERHOFF
Suffix:
Gender:F
Credentials:PHD, LCSW-S, APHSW-C
Other - Prefix:
Other - First Name:BRANDI
Other - Middle Name:JEAN
Other - Last Name:GIDEON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 356
Mailing Address - Street 2:
Mailing Address - City:MUENSTER
Mailing Address - State:TX
Mailing Address - Zip Code:76252-0356
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:216 S MESQUITE ST
Practice Address - Street 2:
Practice Address - City:MUENSTER
Practice Address - State:TX
Practice Address - Zip Code:76252-2744
Practice Address - Country:US
Practice Address - Phone:940-391-4071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-29
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX531491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical