Organization
ADRIANNE M BRENNAN PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MYRICK (BILLING SPECIALIST)
(504) 833-6730
Entity
Organization
Contact information
Practice address
110 JAMES DR W, SAINT ROSE, LA 70087-4027
(504) 833-6730
Mailing address
110 JAMES DR W, SAINT ROSE, LA 70087-4027
(504) 833-6730
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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