Diane Gail Brennan is a School in Mesa, Arizona. Diane Gail Brennan practices all healthcare services and medical treatments related to School. The NPI Number for Diane Gail Brennan is 1861547820. The last update date is 2007-07-26.
Diane Gail Brennan's current location address is 8045 E Portobello Ave, Mesa, Arizona. You can contact this provider via phone number 4805071404 and fax number 4805071666. The mailing address for Diane Gail Brennan is 8045 E Portobello Ave, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Gail Brennan |
|---|---|
| Address | 8045 E Portobello Ave, Mesa, Arizona |
| Phone Number | 4805071404 |
| Fax Number | 4805071666 |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1861547820 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2007-07-26 |
Provider Mailing Address Detail
| Address | 8045 E Portobello Ave |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852121690 |
| Phone Number | 4805071404 |
| Fax Number | 4805071666 |
Provider's Primary Taxonomy Detail
| Speciality | School |
|---|---|
| Taxonomy | 103Ts0200X |
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Definition: A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide |
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What is the unique identifier code issued to Diane Gail Brennan by the Centers for Medicare & Medicaid Services?
The Diane Gail Brennan has been assigned the NPI (National Provider Identifier) 1861547820. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Diane Gail Brennan located?
The Diane Gail Brennan is located at 8045 E Portobello Ave, Mesa, AZ 852121690.
What is Diane Gail Brennan's area of expertise and its corresponding taxonomy classification?
The Diane Gail Brennan's field of specialization is School, and it falls under the taxonomy code 103Ts0200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Diane Gail Brennan receive its 1861547820 assignment from the Centers for Medicare & Medicaid Services?
The Diane Gail Brennan was assigned its 1861547820 by the Centers for Medicare & Medicaid Services on 2007-01-23.
As of what date were the Diane Gail Brennan's details last updated?
The information pertaining to the Diane Gail Brennan, including its address, specialty, and other details, was most recently updated on 2007-07-26.