AILLINN BRENNAN


Address: 139 W Broadway, Jim Thorpe, PA 18229-1930
Phone: 9178659430

AILLINN BRENNAN (NPI# 1588949408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588949408
Entity Type Individual
Full Name AILLINN BRENNAN
Other Name AILEEN BRENNAN
Credential L.P.C.
Practice Address 139 W Broadway
Jim Thorpe
PA 18229-1930
Practice Telephone 9178659430
Mailing Telephone 9178659430
Enumeration Date 2011-10-12
Last Update Date 2011-10-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
PC006035 PA Behavioral Health & Social Service Providers

Office Location

Street Address 139 W BROADWAY
City JIM THORPE
State PA
Zip Code 18229-1930

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NPI Name Taxonomy Address Enumeration
1093083859 Nancy M. Porambo Massage Therapist 616 Center Street, Jim Thorpe, PA 18229 2011-12-08
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1871697573 Jayendra C Patel Dentist 903 Center St, Jim Thorpe, PA 18229 2006-09-12
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1104802651 Patrick J Hanley Emergency Medicine 1580 Center Ave, Jim Thorpe, PA 18229-1012 2005-12-16
1134240005 Eileen P Connors Nurse Practitioner 1580 Center Ave, Jim Thorpe, PA 18229-1012 2007-04-02
1487773966 Switchback Medical Center PC Family Medicine 1580 Center Ave, Jim Thorpe, PA 18229-1012 2007-03-28
1063554467 Vanessa Rice Family Medicine 1580 Center Ave, Jim Thorpe, PA 18229-1012 2007-02-13
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City JIM THORPE
Zip Code 18229

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Dataset Information

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.

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