Brenner, Kurt Gordon

Brenner, Kurt Gordon is an individual health care provider with primary practice located at 115 Mill St , Belmont MA 02478-1041. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Brenner, Kurt Gordon can be contacted via phone (617) 855-2999.

Contact Information

Primary practice address
115 Mill St Belmont MA 02478-1041
Fax: (617) 855-3776
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 7753 Massachusetts

Profile Details

NPI number 1649226259
LBN Legal business name Brenner, Kurt Gordon
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Jul 8th, 2007 - about 17 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 1649226259 NPPES
Massachusetts Other W05954 BCBS

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