Individual
DR. AVRENE LAURA BRANDT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1230 VALLEY OF LKS, HAZLETON, PA 18202-9284
(570) 384-0747
(570) 384-0747
Mailing address
PO BOX 4255, MEDIA, PA 19063-7255
(570) 384-0747
(570) 384-0747
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
35SI003348
NJ
103TC0700X
Clinical Psychologist
Primary
PS002319L
PA
Other
Enumeration date
11/30/2005
Last updated
07/09/2007
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