Brenman, Allan Jay

Brenman, Allan Jay is an sole proprietor health care provider with primary practice located at 1 Richmond Sq Ste 307E , Providence RI 02906-5121. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is his primary health care specialty. Brenman, Allan Jay can be contacted via phone (401) 831-5262.

Contact Information

Primary practice address
1 Richmond Sq Ste 307E Providence RI 02906-5121
Phone: (401) 831-5262
Fax: (401) 274-4549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 410 Rhode Island
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 410 Rhode Island
Behavioral Health & Social Service Providers / Counseling 103TC1900X 410 Rhode Island

Profile Details

NPI number 1265520159
LBN Legal business name Brenman, Allan Jay
Credentials ED.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2006
Last updated Jun 26th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265520159 NPPES
Rhode Island MEDICAID 9003573

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