Laura L. Brenner, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2002030475 Issued in MO

Practice address

28 N 8TH St
Ste 300
Columbia, MO 65201-7708

Phone

(573) 239-5563

Fax

(573) 777-5555

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Deborah J Doxsee, PHD LLC

  • Clinical Psychologist
  • Columbia, MO
  • NPI 1528498334
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469750400000",
    "number": "1699795419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 N 8TH ST",
            "address_2": "STE 300",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017708",
            "telephone_number": "573-239-5563",
            "fax_number": "573-777-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 N 8TH ST",
            "address_2": "STE 300",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017708",
            "telephone_number": "573-239-5563",
            "fax_number": "573-777-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "LAURA",
        "middle_name": "L.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2016-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2002030475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana Michelle Breedlove, M.A. CCC-SLP
• Glenn Scott Breitzig, D.C., FNP-C
• Laura D Breitzig, MSN, FPMHNP, PMH-C
• Marina Rae Brendel, MD
• Lisa Marie Brennaman, MD
• Sarah Elisabeth Breseke, M.A, LPC
• Lauren Wood Breshears, N.P.
• Julie Marie Bresnahan, FNP-BC
• Maureen Barbara Bressett, RPH
• Allison Marie Brett, MOT OTR/L

• Clinical Psychologist in Columbia, MO
• Providers in Columbia, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.