Individual
KURT GORDON BRENNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
115 MILL ST, BELMONT, MA 02478-1041
(617) 855-2999
(617) 855-3776
Mailing address
115 MILL ST, BELMONT, MA 02478-1041
(617) 855-2999
(617) 855-3776
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7753
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W05954
BCBS
MA
Enumeration date
05/25/2006
Last updated
07/08/2007
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