Brenner, Susan Lee

Brenner, Susan Lee is an individual health care provider with primary practice located at 73 June Ave , Northport NY 11768-3014. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brenner, Susan Lee can be contacted via phone (631) 651-8900.

Contact Information

Primary practice address
73 June Ave Northport NY 11768-3014
Phone: (631) 651-8900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R024111 New York

Profile Details

NPI number 1093833915
LBN Legal business name Brenner, Susan Lee
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 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