| Doctor Name: | DR. BRIAN DOUGLAS CONNERS |
| NPI Number: | 1982031266 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ED.D,CAGS, MA, MED |
| License Number: | 244794 |
| Business Practice Address: | 6 Gates St Monson, MA - 010571115 |
| Business Phone Number: | 4135196411 |
| Business Fax Number: | |
| Mailing Address: | 6 Gates St, MONSON |
| State: | MA |
| Postal Code: | 010571115 |
| Phone Number: | 4135196411 |
| Fax Number: | |
| NPI Enumeration Date: | 10/02/2013 |
| NPI Last Update Date: | 10/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | 244794 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |