Individual
LAURIE A BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1221 LEE ST, CHARLOTTESVILLE, VA 22908-0001
(434) 924-2706
(434) 924-9068
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
(434) 295-1000
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
0810005040
VA
103TC0700X
Clinical Psychologist
Primary
0810005040
VA
Other
Enumeration date
08/21/2014
Last updated
03/24/2026
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