Individual
DR. ALLAN JAY BRENMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
1 RICHMOND SQ STE 307E, PROVIDENCE, RI 02906-5121
(401) 831-5262
(401) 274-4549
Mailing address
1 RICHMOND SQ STE 307E, PROVIDENCE, RI 02906-5121
(401) 831-5262
(401) 274-4549
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
410
RI
103TC1900X
Counseling Psychologist
Primary
410
RI
103TC2200X
Clinical Child & Adolescent Psychologist
410
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9003573
—
RI
Enumeration date
10/10/2006
Last updated
06/26/2020
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