Brennan, Diane Gail

Brennan, Diane Gail is an individual health care provider with primary practice located at 8045 E Portobello Ave , Mesa AZ 85212-1690. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Brennan, Diane Gail can be contacted via phone (480) 507-1404.

Contact Information

Primary practice address
8045 E Portobello Ave Mesa AZ 85212-1690
Fax: (480) 507-1666
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X Arizona

Profile Details

NPI number 1861547820
LBN Legal business name Brennan, Diane Gail
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jul 26th, 2007 - about 18 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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