Provider Demographics
NPI:1043344575
Name:BRENNAN, ANNA MARIA (MA, LAMFT)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIA
Last Name:BRENNAN
Suffix:
Gender:F
Credentials:MA, LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7625 N 10TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-4107
Mailing Address - Country:US
Mailing Address - Phone:602-373-6085
Mailing Address - Fax:
Practice Address - Street 1:4300 N MILLER RD
Practice Address - Street 2:SUITE 251
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-3619
Practice Address - Country:US
Practice Address - Phone:480-774-7945
Practice Address - Fax:480-941-4010
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAMFT-0423106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist