| Doctor Name: | MS. TARA ANNE BRENNAN |
| NPI Number: | 1073808309 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S.W. |
| License Number: | |
| Business Practice Address: | 340 Maple St Marlborough, MA - 017523200 |
| Business Phone Number: | 5084859300 |
| Business Fax Number: | |
| Mailing Address: | Po Box 552, TEMPLETON |
| State: | MA |
| Postal Code: | 014680552 |
| Phone Number: | 5083142429 |
| Fax Number: | 5086286944 |
| NPI Enumeration Date: | 06/15/2011 |
| NPI Last Update Date: | 06/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |