Provider Demographics
NPI:1134649411
Name:CLAY-OZENNE, BRENDA A
Entity Type:Individual
Prefix:MS
First Name:BRENDA
Middle Name:A
Last Name:CLAY-OZENNE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 CHESTER ST
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06514-3433
Mailing Address - Country:US
Mailing Address - Phone:203-745-6542
Mailing Address - Fax:
Practice Address - Street 1:147 CHESTER ST
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06514-3433
Practice Address - Country:US
Practice Address - Phone:203-745-6542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA0001298251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health