MEDICARE: ROBERT BRENNAN

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1689123465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT BRENNAN

Provider Business Mailing Address
First Line	:	287 COMMERCIAL ST APT 13
Second Line	:
City	:	BRAINTREE
State	:	MA
Zip	:	02184-5319
Country	:	US
Telephone Number	:	781-600-4842
Fax Number	:

Provider Business Practice Location Address
First Line	:	287 COMMERCIAL ST APT 13
Second Line	:
City	:	BRAINTREE
State	:	MA
Zip	:	02184-5319
Country	:	US
Telephone Number	:	781-600-4842
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2016
Last Update Date	:	03/28/2026

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Directions to “ ROBERT BRENNAN ” Practice Location

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