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: |