Individual
C. BROOKS BRENNEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
313 PRICE PL STE 203, MADISON, WI 53705-3262
(608) 238-2301
Mailing address
313 PRICE PL STE 203, MADISON, WI 53705-3262
(608) 238-2301
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
573057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39065800
—
WI
Enumeration date
07/06/2006
Last updated
09/13/2007
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