Individual provider · Type 1 NPI
Edwin Brennan, PhD, LP
Health Service Psychologist · Leesville, LA
Practice location
3353 University Pkwy
Leesville, LA 71446-9041
Mailing address
Fort Polk Va Outpatient Clinic, 3353 University Parkway
Leesville, La 71446, LA 71446
Other practice locations
- 4765 Timberland Dr, Berrien Springs, MI 49103-1430 · (269) 697-9623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401014593 (MI) |
| Health Service Psychologist | 103TH0100X | 1544 (LA) |
| Health Service Psychologist Primary | 103TH0100X | None listed |
Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
6 other providers at this address
- Alexandria VamcVA Clinic/Center Leesville, LA NPI 1245513506
- Amaris Navedo, MDGeneral Practice Physician Leesville, LA NPI 1225258122
- Amie Blackburn, LCSWClinical Social Worker Leesville, LA NPI 1053709063
- Cathy PriceFamily Nurse Practitioner Leesville, LA NPI 1255016614
- Jessica Julian, FNP-BCFamily Nurse Practitioner Leesville, LA NPI 1699433227
- Laken LewisGeriatric Pharmacist Leesville, LA NPI 1982004594
About NPI 1295196152
Edwin Brennan, PhD, LP's National Provider Identifier is 1295196152, issued on Mar 18, 2016. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Leesville, LA. The record was last updated on Sep 27, 2022.