Brenner, Mark Jeffery

Brenner, Mark Jeffery is an sole proprietor health care provider with primary practice located at 1 Nathaniel Way , Canton MA 02021-3852. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Brenner, Mark Jeffery can be contacted via phone (781) 821-0708.

Contact Information

Primary practice address
1 Nathaniel Way Canton MA 02021-3852
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 104840 Massachusetts

Profile Details

NPI number 1386797355
LBN Legal business name Brenner, Mark Jeffery
Credentials PH.D., LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2007
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.

Request for update

Popular Providers