Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWIN BRENNAN, PHD, LP
ActiveHealth Service Psychologist · LEESVILLE, LA
Registration Details
- NPI Number
- 1295196152
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 18, 2016 (10.093692444484 yrs)
- Last Updated
- Sep 27, 2022
- Licenses
-
6401014593 (MI)1544 (LA)
Practice Information
- Address
-
3353 UNIVERSITY PKWYLEESVILLE, LA, 714469041Browse LA providers · Browse ZIP 71446
- Phone
- 3373923800
- Primary Specialty
-
Health Service Psychologist
103TH0100X
- Additional Specialty
- Health Service Psychologist
- Additional Specialty
- Health Service Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.