Individual
COLLEEN APRIL BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1710 BARTON RD, REDLANDS, CA 92373-5304
(909) 558-8617
Mailing address
LOMA LINDA UNIVERSITY, DEPARTMENT OF PSYCHOLOGY, 11130 ANDERSON STREET, LOMA LINDA, CA 92350
(909) 558-8617
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY29154
CA
103TC0700X
Clinical Psychologist
PSY29154
CA
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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