Provider Demographics
NPI:1558696823
Name:BRENINGHOUSE, BRIAN (BA)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:
Last Name:BRENINGHOUSE
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 MAY AVE
Mailing Address - Street 2:
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-3676
Mailing Address - Country:US
Mailing Address - Phone:412-331-7712
Mailing Address - Fax:412-331-0982
Practice Address - Street 1:19 MAY AVE
Practice Address - Street 2:
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-3676
Practice Address - Country:US
Practice Address - Phone:412-331-7712
Practice Address - Fax:412-331-0982
Is Sole Proprietor?:No
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health