Provider Demographics
NPI:1770666000
Name:BRENNAN, DARREN CHRISTOPHER (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DARREN
Middle Name:CHRISTOPHER
Last Name:BRENNAN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 ROBERT FULTON DR STE 230
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20191-5461
Mailing Address - Country:US
Mailing Address - Phone:703-391-9410
Mailing Address - Fax:703-476-7634
Practice Address - Street 1:1801 ROBERT FULTON DR STE 230
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191-5461
Practice Address - Country:US
Practice Address - Phone:703-391-9410
Practice Address - Fax:703-476-7634
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810005104103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA180383OtherANTHEM BCBS PROVIDER#
VA2129958OtherMAMSI PROVIDER#
VAK5980001OtherCAREFIRST BCBS PROVIDER#