Individual
LAURETTA BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5500 HOLMES RUN PKWY, ALEXANDRIA, VA 22304-2863
(703) 379-7350
Mailing address
5500 HOLMES RUN PKWY, ALEXANDRIA, VA 22304-2863
(703) 379-7350
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005598
VA
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
Other
Enumeration date
05/26/2015
Last updated
12/27/2016
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