Most Relevant Information
Provider Data
| NPI Number: | 1003536343 |
| Provider Name: | BRENNAN PEDERSEN |
| Entity Type: | Individual |
| Taxonomy Code: | 103TP0814X |
| Specialty: | Psychologist |
| License Number: | 001153 |
Most Important Dates
| Enumeration Date: | 08/29/2022 |
| Last Updated: | 08/29/2022 |
Provider Practice Location
31 WASHINGTON SQ W STE 6B
NEW YORK
NY
100119126
Practice Location Phone/Fax
| Phone: | 2068907816 |
| Fax: |
Provider Mailing Location
92 BUTLER ST APT 3R
BROOKLYN
NY
112314989
Provider Mailing Phone/Fax
| Phone: | 2068907816 |
| Fax: |