Individual
DR. MICHAEL WILLIAM BRESNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1091 WASHINGTON ST, GLOUCESTER, MA 01930-1129
(978) 515-7648
(978) 515-7684
Mailing address
718 WASHINGTON ST, GLOUCESTER, MA 01930-1374
(203) 231-2925
(978) 515-7684
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
002945
CT
103T00000X
Psychologist
017759-1
NY
103T00000X
Psychologist
Primary
9347
MA
Other
Enumeration date
08/03/2010
Last updated
12/03/2012
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