Individual
DR. JEFFREY NEIL BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
355 LEXINGTON ST, AUBURNDALE, MA 02466-1211
(617) 332-4121
Mailing address
355 LEXINGTON ST, AUBURNDALE, MA 02466-1211
(617) 332-4121
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3729
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W03768
CLINICAL PSYCHOLOGY
MA
Enumeration date
09/02/2006
Last updated
09/08/2008
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