Doctor Name: | MR. MICHAEL BRENNAN |
NPI Number: | 1134575525 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 3548 |
Business Practice Address: | 100 Westside Dr Dothan, AL - 363031908 |
Business Phone Number: | 3347932237 |
Business Fax Number: | |
Mailing Address: | 111 Bartlet Ln, DOTHAN |
State: | AL |
Postal Code: | 363051039 |
Phone Number: | 3343981404 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2016 |
NPI Last Update Date: | 05/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 3548 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |