Individual
DR. CARMEN C. BRENES JETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1330 BEACON ST STE 255, BROOKLINE, MA 02446-3200
(781) 861-2978
(781) 676-7942
Mailing address
1330 BEACON ST STE 255, BROOKLINE, MA 02446-3200
(781) 861-2978
(781) 676-7942
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4533
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0033463
NEIGHBORHOOD HEALTH PLAN
MA
01
—
0523259
MBHP
MA
01
—
195306
MHN
MA
01
—
255317000
MAGELLAN BEHAVIOR HEALTH
MA
01
—
5690762
AETNA
MA
01
—
669495
TUFTS THRU HVMA
MA
01
—
729686
TUFTS
MA
01
—
JEW04565
BLUE CROSS
MA
Enumeration date
05/23/2006
Last updated
01/04/2019
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