Kurt Gordon Brenner in Belmont - Clinical
Kurt Gordon Brenner - NPI 1649226259
Kurt Gordon Brenner is a Clinical in Belmont, Massachusetts. Kurt Gordon Brenner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kurt Gordon Brenner is 1649226259. The last update date is 2007-07-08.
Kurt Gordon Brenner's current location address is 115 Mill St, Belmont, Massachusetts. You can contact this provider via phone number 6178552999 and fax number 6178553776. The mailing address for Kurt Gordon Brenner is 115 Mill St, Belmont, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kurt Gordon Brenner |
|---|---|
| Address | 115 Mill St, Belmont, Massachusetts |
| Phone Number | 6178552999 |
| Fax Number | 6178553776 |
| Sole Proprietor | X |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1649226259 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 115 Mill St |
|---|---|
| City | Belmont |
| State | Massachusetts (MA) |
| Post Code | 24781041 |
| Phone Number | 6178552999 |
| Fax Number | 6178553776 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 7753 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| W05954 | MA | BCBS |
Post Comment/ Review Below
What is the Kurt Gordon Brenner's 1649226259?
The Kurt Gordon Brenner's NPI (National Provider Identifier) Number is 1649226259. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kurt Gordon Brenner located?
The Kurt Gordon Brenner is located at 115 Mill St, Belmont, MA 24781041.
What is the Kurt Gordon Brenner's specialty and taxonomy code?
The Kurt Gordon Brenner's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Kurt Gordon Brenner receive the assignment of its 1649226259 from the Centers for Medicare & Medicaid Services?
The Kurt Gordon Brenner was issued its 1649226259 by the Centers for Medicare & Medicaid Services on 2006-05-25.
As of what date were the details pertaining to Kurt Gordon Brenner last refreshed?
The information related to the Kurt Gordon Brenner, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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