MS. LAURA BRENNAN (NPI# 1316206311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316206311 |
| Entity Type | Individual |
| Full Name | MS. LAURA BRENNAN |
| Credential | PH.D. |
| Practice Address |
909 Walnut St 2nd Floor Philadelphia PA 19107-5211 |
| Practice Telephone | 2159551234 |
| Practice Fax Number | 2155036792 |
| Mailing Telephone | 2159551234 |
| Mailing Fax Number | 2155036792 |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2017-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PS017757 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285832972 | Laura Jean Brennan | Nurse Practitioner | 1 Pace Plz Fl 6, New York, NY 10038-1598 | 2007-07-05 |
| 1275579013 | Laura K Brennan | Pediatrics | Abington Memorial Hospital, 1200 Old York Road, Abington, PA 19001 | 2006-06-21 |
| 1538701750 | Laura A Brennan | Psychologist | 399 Boylston St Ste 900, Boston, MA 02116-3305 | 2019-10-09 |
| 1609377258 | Laura Ellen Brennan | Physical Therapy Assistant | 4180 Tittabawassee Rd, Saginaw, MI 48604-9413 | 2018-02-27 |
| 1235389826 | Laura Anne Brennan | Nurse Practitioner | 4501 X St, 2 Nd Floor, Sacramento, CA 95817-2229 | 2008-09-19 |
| 1902094378 | Laura Ann Brennan | Nurse Practitioner | 7000 Wellness Way, Suite 7230, St. Simons Island, GA 31522-2286 | 2007-10-10 |
| Street Address |
909 WALNUT ST 2ND FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-5211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720076706 | Jack I Jallo | Neurological Surgery | 909 Walnut St, 2nd Floor, Philadelphia, PA 19107-5211 | 2005-10-12 |
| 1598370876 | Adam Drabman | Student in an Organized Health Care Education/Training Program | 909 Walnut St, Philadelphia, PA 19107-5211 | 2020-09-13 |
| 1023639671 | Lauren Malinowski-falk | Nurse Practitioner | 909 Walnut St, Philadelphia, PA 19107-5211 | 2020-05-05 |
| 1104399336 | Claire Wells | Nurse Practitioner | 909 Walnut St, Philadelphia, PA 19107-5211 | 2019-01-10 |
| 1841768231 | Kimberly Farley | Nurse Practitioner | 909 Walnut St, Philadelphia, PA 19107-5211 | 2018-11-05 |
| 1477040558 | Tzu-ying Chuang | Student in an Organized Health Care Education/Training Program | 909 Walnut St, Philadelphia, PA 19107-5211 | 2018-04-16 |
| 1386170272 | Colleen Ellen Brophy | Student in an Organized Health Care Education/Training Program | 909 Walnut St, Room 300, Philadelphia, PA 19107-5211 | 2017-05-11 |
| 1760918874 | Yichao Ethan Zhao | Internal Medicine | 909 Walnut St, Philadelphia, PA 19107-5211 | 2017-05-10 |
| 1609302207 | Alyssa Gail Flashburg | Student in an Organized Health Care Education/Training Program | 909 Walnut St, Room 300, Philadelphia, PA 19107-5211 | 2017-05-03 |
| 1982139077 | Nikolaos Mouchtouris | Student in an Organized Health Care Education/Training Program | 909 Walnut St, 2nd Floor, Philadelphia, PA 19107-5211 | 2017-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467092312 | Katie Fabius | Clinical Neuropsychologist | 230 S Broad St Ste 1005, Philadelphia, PA 19102-4105 | 2020-01-08 |
| 1609228022 | Michael E. Keesler | Clinical Neuropsychologist | 77 Rochelle Ave, Philadelphia, PA 19128-3809 | 2016-07-09 |
| 1023463106 | Chelsea Black | Clinical Neuropsychologist | 3405 Civic Center Blvd Rm 107, Philadelphia, PA 19104-4319 | 2016-04-26 |
| 1285088914 | Megan Alana Perrin | Clinical Neuropsychologist | 1510 Manton St, Philadelphia, PA 19146-3129 | 2016-04-19 |
| 1104207190 | Kelly M. Janke | Clinical Neuropsychologist | 3501 Civic Center Blvd # 10209, Philadelphia, PA 19104-3820 | 2015-06-15 |
| 1861637381 | Dr. Shan Psychiatry Clinic LLC | Clinical Neuropsychologist | 756 Adams Ave, Philadelphia, PA 19124-2330 | 2008-12-12 |
| 1225184468 | Cornelius Furgueson | Clinical Neuropsychologist | 1801 Vine St, Room 149-mg, Philadelphia, PA 19103-1117 | 2007-01-27 |
| 1588711006 | Diversified Psychological Resources, P.C. | Clinical Neuropsychologist | 230 S. Broad St., Suite 1005, Philadelphia, PA 19102-4105 | 2007-01-05 |
| 1407879430 | Carol L Armstrong | Clinical Neuropsychologist | 100 N 20th St, Philadelphia, PA 19103-1443 | 2006-07-25 |
| 1558381251 | Edward A Maitz | Clinical Neuropsychologist | 117 S 17th St, Suite 1700, Philadelphia, PA 19103-5025 | 2006-07-19 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.