NPI 1265520159 · live from the CMS NPI Registry
Allan Jay Brenman, Ed.D.
Psychologist, Counseling in Providence, RI. National Provider Identifier 1265520159, active.
NPI record
| NPI | 1265520159 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Counseling 103TC1900X |
| Practice location | 1 Richmond Sq Ste 307e, Providence, RI 02906 |
| Practice phone | 401-831-5262 |
| Enumerated | October 10, 2006 |
| Last updated | June 26, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | 410 (RI) |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | 410 (RI) |
| Psychologist, Counseling primary | 103TC1900X | 410 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.