Organization
JERRY M BRENNAN PHD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY M BRENNAN PHD (PRESIDENT)
(808) 538-0343
Entity
Organization
Contact information
Practice address
651 KAUMAKANI ST, HONOLULU, HI 96825-1827
(808) 538-0343
Mailing address
651 KAUMAKANI ST, HONOLULU, HI 96825-1827
(808) 538-0343
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY-277
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01269301
—
HI
Enumeration date
03/11/2013
Last updated
03/11/2013
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