Doctor Name: | BRENNA THERESE CORRIGAN |
NPI Number: | 1104125699 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 089.0075402 |
Business Practice Address: | 215 N Main St Mail Code 170/wmf White River Junction, VT - 050090001 |
Business Phone Number: | 8022959363 |
Business Fax Number: | 8022966416 |
Mailing Address: | 215 N Main St, Mail Code 170/wmf WHITE RIVER JUNCTION |
State: | VT |
Postal Code: | 050090001 |
Phone Number: | 8022959363 |
Fax Number: | 8022966416 |
NPI Enumeration Date: | 03/23/2011 |
NPI Last Update Date: | 03/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 089.0075402 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |