| Brenda A. Tully, Lcsw | |
|
245 W 29th St Suite 304 New York NY 10001-5208 | |
| (347) 907-3646 | |
| Not Available |
| Full Name | Brenda A. Tully, Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 245 W 29th St, New York, New York |
| Authorized Official Name and Position | Brenda Ann Tully (THERAPIST) |
| Authorized Official Contact | 3479073646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda A. Tully, Lcsw 340 Fairmount Ave Unit 307 Jersey City NJ 07306-4848 Ph: (347) 907-3646 | Brenda A. Tully, Lcsw 245 W 29th St Suite 304 New York NY 10001-5208 Ph: (347) 907-3646 |
| NPI Number | 1215329743 |
|---|---|
| Provider Enumeration Date | 02/20/2015 |
| Last Update Date | 02/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215329743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 73074208-R (New York) | Primary |
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