Edward Brenner, PSY.D.

NPI #1992807465 in Syosset, New York

Provider Information

NPI Number: 1992807465
Entity Type: Individual
Name: Edward Brenner, PSY.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PSY.D.
Enumeration Date: Sep 3, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 175 JERICHO TPKE
Address 2: SUITE 215
City: Syosset
State: New York
ZIP Code: 11791-4532
Phone: (516) 677-0235

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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