SUSAN BRENNER


Address: 622 E Savidge St, Spring Lake, MI 49456-1957
Phone: 6166079187

SUSAN BRENNER (NPI# 1013363803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013363803
Entity Type Individual
Full Name SUSAN BRENNER
Credential MA, LLP
Practice Address 622 E Savidge St
Spring Lake
MI 49456-1957
Practice Telephone 6166079187
Mailing Telephone 6166079187
Enumeration Date 2016-05-11
Last Update Date 2016-06-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
6301009495 MI Behavioral Health & Social Service Providers

Other Providers SUSAN BRENNER

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1962877233 Susan E Brenner Behavioral Analyst 55 S Ashby Ave, Livingston, NJ 07039-2825 2015-12-11
1235441866 Susan Lynn Brenner Counselor 6942 Tylersville Rd, West Chester, OH 45069-1511 2010-07-12
1215151238 Susan J Brenner General Acute Care Hospital Rt 122, Box 247, Mc Dowell, KY 41647-0578 2007-04-12
1093833915 Susan Lee Brenner Social Worker 73 June Ave, Northport, NY 11768-3014 2007-03-27
1447766134 Susan B Brenner Nurse Practitioner 1425 Frazee Rd, San Diego, CA 92108-4347 2017-12-18
1477685170 Susan J Brenner Social Worker 817 Broadway, Suite 916, New York, NY 10003 2007-03-09

Office Location

Street Address 622 E SAVIDGE ST
City SPRING LAKE
State MI
Zip Code 49456-1957

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376066001 Kathleen Ann Bates Nurse Practitioner 16036 Baird Dr, Spring Lake, MI 49456 2017-07-25
1174859763 David A Buursma Physical Therapist 16140 148th Avenue, Spring Lake Community Fitness & Aquatic Center, Spring Lake, MI 49456 2009-11-02
1720314552 Arthur Linwood Brown II Surgery 18925 North Shore Dr., Spring Lake, MI 49456 2009-10-29
1700050531 Ann Holmgren Harris Clinical Nurse Specialist 17353 Hazel St, Suite 212, Spring Lake, MI 49456 2008-04-14
1932320421 Julie A Bench Physical Therapist 15414 Stoneridge Ct, Spring Lake, MI 49456 2007-05-01
1730304130 Phillip Allen Morse Pharmacist 603 E Savidge, Spring Lake, MI 49456 2007-04-13
1821125592 Patrick Scott Karwowski Pharmacist 603 E Savidge St, Spring Lake, MI 49456 2007-02-28
1528126521 Debra Kaye Cargo Social Worker 107 South Division, Spring Lake, MI 49456 2006-12-04
1396821377 Hometown Pharmacy Inc Pharmacy 17717 174th Ave, Spring Lake, MI 49456 2006-10-31
1710071360 Link Dephouse Physical Therapist 16200 Old Orchard Dr, Spring Lake, MI 49456 2006-10-03
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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1881229151 Shannon Sugarman Psychotherapy Psychologist 27655 Middlebelt Rd Ste 140, Farmington Hills, MI 48334-5029 2020-03-07
1376178020 Pro-active Counseling LLC Psychologist 1410 84th St Sw, Byron Center, MI 49315-9344 2020-03-03
1609416197 Alexander Sydney Houseknecht Psychologist 337 Visser Pl Se, Grand Rapids, MI 49506-1541 2020-01-13
1801431481 Christine Williams, Ms, LLP,pllc Psychologist 190 N Main St Ste D, Plymouth, MI 48170-1236 2019-11-07
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Competitor

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City SPRING LAKE
Zip Code 49456

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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