DR. Dori Ilene Brenner, PSY.D.

NPI #1497884167 in Patchogue, New York

Provider Information

NPI Number: 1497884167
Entity Type: Individual
Name: DR. Dori Ilene Brenner, PSY.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - School
Credential: PSY.D.
Enumeration Date: Mar 5, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 436 W MAIN ST
Address 2: SECOND FLOOR
City: Patchogue
State: New York
ZIP Code: 11772-3012
Phone: (631) 758-2170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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