NPI 1114137395 · live from the CMS NPI Registry
Mary Theresa Brenan, PhD
Psychologist, Clinical in Washington, DC. National Provider Identifier 1114137395, active.
NPI record
| NPI | 1114137395 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 1400 20th St Nw, Suite 101, Washington, DC 20036 |
| Practice phone | 202-833-2329 |
| Mailing address | 5534 Nevada Ave Nw, Washington, DC 20015 |
| Enumerated | May 23, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 1377 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.