Individual
DR. KEVIN DOUGLAS BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
885 LINCOLN AVE, GLEN ROCK, NJ 07452-3230
(908) 249-3554
Mailing address
885 LINCOLN AVE, GLEN ROCK, NJ 07452-3230
(908) 249-3554
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
017112
NY
Other
Enumeration date
04/10/2007
Last updated
09/26/2012
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