Individual
MRS. SUSAN HARTMAN BRENIZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LMFT (LICENSED
Contact information
Practice address
7000 E GENESEE ST LYNDON OFFICE PARK, BLDG. A, SECOND FLOOR (UPPER LEVEL), FAYETTEVILLE, NY 13066
(315) 446-9646
(315) 637-6264
Mailing address
7000 E GENESEE ST LYNDON OFFICE PARK, BLDG. A, SECOND FLOOR (UPPER LEVEL), FAYETTEVILLE, NY 13066
(315) 446-9646
(315) 637-6264
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
NYSTATE#000-425
NY
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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