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Contact Information

JERRY M BRENNAN, PhD
651 KAUMAKANI ST
HONOLULU, HI96825-1827
 Phone: 808-538-0343
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JERRY M BRENNAN · (Male)

NPI Number 1063517324
Status Active
Credentials PhD
Entity Individual
Enumeration date 09/13/2006
Last updated 07/29/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • HI License # 532-92
  • HI License # PSY-277
  • HI Medicaid 01269301
  • HI Other 01269301 ALOHACARE
  • HI Other 0000013417 BLUE CROSS
  • HI Other 99-0302920 CIGNA
  • HI Other 99-0302920 HAWAII LABORERS
  • HI Other 99-0302920 HMA
  • HI Other 00013417 HMSA
  • HI Other PSY-277 KAISER
  • HI Other 067935000 MAGELLAN
  • HI Other PSY-277 MASS MUTUAL
  • HI Other 192826 SUMMERLIN
  • HI Other 99-0302920 TRI-CARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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