Brenner, Eliot Michael

Brenner, Eliot Michael is an sole proprietor health care provider with primary practice located at 1305 Post Rd Suite 100, Fairfield CT 06824-6016. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Brenner, Eliot Michael can be contacted via phone (203) 209-9535.

Contact Information

Primary practice address
1305 Post Rd Suite 100 Fairfield CT 06824-6016
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 002434 Connecticut

Profile Details

NPI number 1972728129
LBN Legal business name Brenner, Eliot Michael
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2007
Last updated Feb 28th, 2011 - about 13 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.

Request for update

Popular Providers