Individual
BRIAN WENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
118 MAPLEWOOD AVE, PORTSMOUTH, NH 03801-3787
(603) 431-1294
Mailing address
PO BOX 1645, PORTSMOUTH, NH 03802-1645
(603) 431-1294
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
285
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06Y008384NH01
ANTHEM BLUE CROSS
NH
05
—
80002273
—
NH
Enumeration date
07/10/2006
Last updated
07/08/2007
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