Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theodore Joseph Bemenderfer

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780308197

Theodore Joseph Bemenderfer is a Student in an Organized Health Care Education/Training Program in Twentynine Palms, California. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1145 Sturgis Rd
Twentynine Palms, CA 92278
Phone: (317) 752-3134
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 20043728A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1780308197
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 29, 2022
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023

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