Doctor Name: | DANIEL BRENNAN |
NPI Number: | 1811317969 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CSW |
License Number: | 1230203502 |
Business Practice Address: | 197 N 290 W Lindon, UT - 840425001 |
Business Phone Number: | 8017853735 |
Business Fax Number: | 8017856907 |
Mailing Address: | 197 N 290 W, LINDON |
State: | UT |
Postal Code: | 840425001 |
Phone Number: | 8017853735 |
Fax Number: | 8017856907 |
NPI Enumeration Date: | 04/16/2014 |
NPI Last Update Date: | 04/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1230203502 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |