Individual
LAURA L. BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
28 N 8TH ST, STE 300, COLUMBIA, MO 65201-7708
(573) 239-5563
(573) 777-5555
Mailing address
28 N 8TH ST, STE 300, COLUMBIA, MO 65201-7708
(573) 239-5563
(573) 777-5555
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2002030475
MO
Other
Enumeration date
07/21/2006
Last updated
07/29/2016
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