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General NPI Number Information
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NPI Number | 1477421543
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Entity Type | Organization
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Legal Business Name | BRENNER PSYCHOLOGICAL ASSOCIATES LLC
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 120 BREMEN ST UNIT 2
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City | BOSTON
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State | MA
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Zip | 02128-3604
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Country | US
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Telephone | 857-301-8294
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 679
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City | BOSTON
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State | MA
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Zip | 02128-0011
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL PSYCHOLOGIST
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Name | DR. LAUREN HALEY BRENNER
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Credential | PHD
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Telephone | 847-334-2386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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