| Doctor Name: | MS. BRENNA COUGHLIN |
| NPI Number: | 1194977371 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W |
| License Number: | LC8502 |
| Business Practice Address: | 63 Elm St Ste A Suite 1 Topsham, ME - 040861424 |
| Business Phone Number: | 2077518518 |
| Business Fax Number: | |
| Mailing Address: | 63 Elm St Ste A, Suite 1 TOPSHAM |
| State: | ME |
| Postal Code: | 040861424 |
| Phone Number: | 2077518518 |
| Fax Number: | |
| NPI Enumeration Date: | 10/19/2008 |
| NPI Last Update Date: | 09/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LC8502 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |