Dori Ilene Brenner is a School in Patchogue, New York. Dori Ilene Brenner practices all healthcare services and medical treatments related to School. The NPI Number for Dori Ilene Brenner is 1497884167. The last update date is 2007-07-08.
Dori Ilene Brenner's current location address is 40 W 4th St Apt 158, Patchogue, New York. You can contact this provider via phone number 6317583420. The mailing address for Dori Ilene Brenner is 40 W 4th St Apt 158, Patchogue, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dori Ilene Brenner |
|---|---|
| Address | 40 W 4th St Apt 158, Patchogue, New York |
| Phone Number | 6317583420 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1497884167 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 40 W 4th St Apt 158 |
|---|---|
| City | Patchogue |
| State | New York (NY) |
| Post Code | 117722134 |
| Phone Number | 6317583420 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | School |
|---|---|
| Taxonomy | 103Ts0200X |
| Licence No | 008877-1 |
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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 10-digit identification code assigned to Dori Ilene Brenner by the Centers for Medicare & Medicaid Services?
The Dori Ilene Brenner has been issued the NPI (National Provider Identifier) 1497884167, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Dori Ilene Brenner?
The Dori Ilene Brenner is situated at 40 W 4Th St Apt 158, in the city of Patchogue, state of NY, with the zip code 117722134.
What is the area of specialization for Dori Ilene Brenner, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Dori Ilene Brenner is School, and the corresponding taxonomy code that categorizes this area of expertise is 103Ts0200X.
On what date did Dori Ilene Brenner receive its 1497884167 assignment from the Centers for Medicare & Medicaid Services?
The Dori Ilene Brenner was assigned its 1497884167 on 2007-03-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Dori Ilene Brenner most recently updated?
The details pertaining to the Dori Ilene Brenner, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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