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NPI Code Detail

MEDICARE: STEPHANIE LAUREN BRENNAN M.D.

MEDICARE:   STEPHANIE LAUREN BRENNAN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry Physician2022-01972NC

General Provider Information

NPI Number : 1255786851
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE LAUREN BRENNAN M.D.
Provider Business Mailing Address
First Line : 101 MANNING DR
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27514-4220
Country : US
Telephone Number : 984-974-9237
Fax Number :
Provider Business Practice Location Address
First Line : 6013 FARRINGTON RD
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27517-8172
Country : US
Telephone Number : 984-974-6669
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2016
Last Update Date : 08/07/2025

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Directions to “ STEPHANIE LAUREN BRENNAN M.D.” Practice Location

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