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Individual

DR. DIANE GAIL BRENNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
8045 E PORTOBELLO AVE, MESA, AZ 85212-1690
(480) 507-1404
(480) 507-1666
Mailing address
8045 E PORTOBELLO AVE, MESA, AZ 85212-1690
(480) 507-1404
(480) 507-1666

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
AZ

Other

Enumeration date
01/23/2007
Last updated
07/26/2007
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