Doctor Name: | DR. WILLIAM BREEN |
NPI Number: | 1407144918 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 019169 |
Business Practice Address: | 834 Kenwood Ave Suite 3 Slingerlands, NY - 121599621 |
Business Phone Number: | 5187644141 |
Business Fax Number: | 5184391625 |
Mailing Address: | 834 Kenwood Ave, Suite 3 SLINGERLANDS |
State: | NY |
Postal Code: | 121599621 |
Phone Number: | 5187644141 |
Fax Number: | 5184391625 |
NPI Enumeration Date: | 07/18/2011 |
NPI Last Update Date: | 03/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 019169 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |