Dr. Michael W Bresnan, PHD
Psychologist in Gloucester, Massachusetts
1558675314- Practice location
- 1091 Washington St, Gloucester, MA 01930-1129
- Phone
- 978-515-7648
- Fax
- 978-515-7684
- Last updated
- December 3, 2012
Michael William Bresnan is a Psychologist based in Gloucester, MA. Michael William Bresnan practices in Gloucester, MA and has the professional credentials of PHD. The NPI Number for Michael William Bresnan is 1558675314 and holds a License No. 017759-1 (NY). The current practice location address for Michael William Bresnan is 1091 Washington St, Gloucester, MA 01930-1129 and can be reached out via phone at 978-515-7648 and via fax at 978-515-7684.
Provider Profile Details
- NPI Number
- 1558675314
- Provider Name
- Michael William Bresnan
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1091 Washington St, Gloucester, MA 01930-1129
- Phone Number
- 978-515-7648
- Fax Number
- 978-515-7684
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 3, 2010
- Last Update Date
- December 3, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1091 Washington St
Gloucester, MA 01930-1129 - City
- Gloucester
- State
- Massachusetts
- Zip
- 01930-1129
- Phone Number
- 978-515-7648
- Fax Number
- 978-515-7684
Provider Business Mailing Address Details
- Address
- 718 Washington St
Gloucester, MA 01930-1374 - City
- Gloucester
- State
- MA
- Zip
- 01930-1374
- Phone Number
- 203-231-2925
- Fax Number
- 978-515-7684
License Information
- License Number (1)
- 017759-1
- License State (1)
- NY
- Taxonomy (1)
- Psychologist · 103T00000X
- License Number (2)
- 9347
- License State (2)
- MA
- Taxonomy (2)
- Psychologist · 103T00000X · Primary
- License Number (3)
- 002945
- License State (3)
- CT
- Taxonomy (3)
- Psychologist · 103T00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Michael W Bresnan, PHD?
The NPI number of Dr. Michael W Bresnan, PHD is 1558675314. It was assigned on August 3, 2010 and is currently active in the NPPES registry.
What is the specialty of Dr. Michael W Bresnan, PHD?
Dr. Michael W Bresnan, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NY under license number 017759-1.
Where does Dr. Michael W Bresnan, PHD practice?
The practice location is 1091 Washington St, Gloucester, MA 01930-1129. The office can be reached at 978-515-7648 (phone) or 978-515-7684 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558675314 directly on the NPPES registry website.