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Individual

DR. GOODMAN FREDERICK BRENNAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1601 S ZACK HINTON PKWY, MCDONOUGH, GA 30253-6817
(678) 583-4975
Mailing address
275 NORTHMILL PKWY, STOCKBRIDGE, GA 30281-4859
(770) 957-0009
(678) 583-4978

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1000
GA

Other

Enumeration date
07/01/2006
Last updated
07/09/2007
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