Dr. Laurence Brenner
Clinical Child & Adolescent Psychologist
1348 10th Ave
San Francisco
, California 94122-2304
Dr. Laurence Brenner
Clinical Child & Adolescent Psychologist
1348 10th Ave
San Francisco
, California 94122-2304
(415) 861-4788
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Dr. Laurence Brenner
- 366 Roosevelt Way
- San Francisco, CA
- Zip : 94114-1434
- Phone : (415) 861-4788
Second Address
- Dr. Laurence Brenner
- 1348 10th Ave
- San Francisco, CA
- Zip : 94122-2304
- Fax : (415) 564-2313
- Phone : (415) 564-2310
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist |
National Provider Identifier
| NPI | 1063580439 |
|---|---|
| Provider Name | Dr. Laurence Brenner |
| First Address | San Francisco, CA 94114-1434 |
| Second Address | San Francisco, CA 94122-2304 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/12/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.