Individual
DR. BRENNAN LYNN MARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
4800 BASELINE RD STE E104 PMB 344, BOULDER, CO 80303-2643
(303) 358-4603
Mailing address
PMB 344 4800 BASELINE ROAD, E104, BOULDER, CO 80303
(303) 358-4603
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2327
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58079831
—
CO
Enumeration date
04/06/2007
Last updated
11/16/2007
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