Individual
BRENNAN PEDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
31 WASHINGTON SQ W STE 6B, NEW YORK, NY 10011-9126
(206) 890-7816
Mailing address
92 BUTLER ST APT 3R, BROOKLYN, NY 11231-4989
(206) 890-7816
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
001153
NY
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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