Individual
VIRGINIA BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
23 ESCALLE LN, 980 MAGNOLIA AVE., LARKSPUR, CA 94939-1216
(415) 927-2767
(415) 461-4626
Mailing address
23 ESCALLE LN, LARKSPUR, CA 94939-1216
(415) 927-2767
(415) 461-4626
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
LEP652
CA
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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