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1396933727 NPI number — DANYELL LYNN BRENNER LCSW, BCD, PHD

NPI Number: 1396933727
Health Care Provider/Practitioner: DANYELL LYNN BRENNER LCSW, BCD, PHD

Information about “1396933727” NPI (DANYELL LYNN BRENNER LCSW, BCD, PHD) exists in 1396933727 in HTML format HTML  |  1396933727 in plain Text format TXT  |  1396933727 in PDF (Portable Document Format) PDF  |  1396933727 in an XML format XML  formats.

NPI Number : 1396933727 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396933727",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BRENNER",
    "FirstName": "DANYELL",
    "MiddleName": "LYNN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "LCSW, BCD, PHD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PSC 482",
    "SecondLineMailingAddress": "BOX 2714",
    "MailingAddressCityName": "FPO",
    "MailingAddressStateName": "AP",
    "MailingAddressPostalCode": "96362 2700",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "315-643-7722",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "BROOKE ARMY MEDICAL CENTER",
    "SecondLinePracticeLocationAddress": "3551 ROGER BROOKE DR.",
    "PracticeLocationAddressCityName": "FORT SAM HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78234",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "858-888-2213",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/10/2007",
    "LastUpdateDate": "11/27/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "149011014",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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