| Doctor Name: | CHAD BREZNAY |
| NPI Number: | 1013347277 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSYD |
| License Number: | PY8916 |
| Business Practice Address: | 220 Barton Blvd Unit C14 Rockledge, FL - 329552742 |
| Business Phone Number: | 3216395177 |
| Business Fax Number: | 3216394927 |
| Mailing Address: | Po Box 1137, MELBOURNE |
| State: | FL |
| Postal Code: | 329021137 |
| Phone Number: | 3219529696 |
| Fax Number: | 3219527937 |
| NPI Enumeration Date: | 11/25/2013 |
| NPI Last Update Date: | 11/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY8916 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |