Individual
LAURA A BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
35 MAIN ST, BOWDOINHAM, ME 04008-4420
(617) 765-1228
Mailing address
35 MAIN ST, BOWDOINHAM, ME 04008-4420
(617) 765-1228
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11177
MA
103TC0700X
Clinical Psychologist
11177
MA
103TC0700X
Clinical Psychologist
PS01801
RI
103TC0700X
Clinical Psychologist
PS2389
ME
Other
Enumeration date
10/09/2019
Last updated
08/30/2022
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