Healthcare Provider Details

I. General information

NPI: 1043344575
Provider Name (Legal Business Name): ANNA MARIA BRENNAN M.A., LAMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 N MILLER RD SUITE 251
SCOTTSDALE AZ
85251-3619
US

IV. Provider business mailing address

7625 N 10TH ST
PHOENIX AZ
85020-4107
US

V. Phone/Fax

Practice location:
  • Phone: 480-774-7945
  • Fax: 480-941-4010
Mailing address:
  • Phone: 602-373-6085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLAMFT-0423
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: