Individual
DR. RENEE BRUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
485 S INDEPENDENCE BLVD STE 104, VIRGINIA BEACH, VA 23452
(757) 574-0355
(757) 574-0356
Mailing address
485 S INDEPENDENCE BLVD STE 104, VIRGINIA BEACH, VA 23452-1129
(757) 574-0355
(757) 574-0356
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810005575
VA
Other
Enumeration date
11/08/2016
Last updated
08/19/2019
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