| Doctor Name: | MR. DAVID I. BRANDT |
| NPI Number: | 1649252032 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.C.S.W. |
| License Number: | 44SC04508900 |
| Business Practice Address: | 51 Upper Montclair Plz Rm. 12 Upper Montclair, NJ - 070431343 |
| Business Phone Number: | 9737461933 |
| Business Fax Number: | 9737837940 |
| Mailing Address: | 551 Valley Rd, Pmb 190 UPPER MONTCLAIR |
| State: | NJ |
| Postal Code: | 070431832 |
| Phone Number: | 9737837940 |
| Fax Number: | 9737837940 |
| NPI Enumeration Date: | 11/19/2005 |
| NPI Last Update Date: | 01/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 44SC04508900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |