DR. EDWIN BRENNAN PHD, LP
NPI 1295196152
Psychologist - Health Service in Leesville, LA

Active since March 18, 2016
3353 UNIVERSITY PKWY, LEESVILLE, LA 71446(337) 392-3800 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 27, 2022, Dec 15, 2020, Mar 18, 2016 (3 updates tracked since 2016).

About Dr. Edwin Brennan Phd, Lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWIN BRENNAN PHD, LP (NPI 1295196152) is an individual health service provider in Leesville, Louisiana, licensed in Louisiana (1544) and active in the NPI registry since March 2016. He maintains a secondary practice location in Berrien Springs.

NPPES Registry Identity

NPI1295196152
Entity TypeIndividualMale
Primary Taxonomy103TH0100X
Provider Legal NameDR. EDWIN BRENNANCredential: PHD, LP
Location Address3353 UNIVERSITY PKWYLeesville, LA 71446-9041
Mailing AddressFort Polk Va Outpatient Clinic, 3353 University ParkwayLeesville, La 71446, LA 71446 · (373) 392-3800
Sole ProprietorNo
Enumeration DateMarch 18, 2016
Last NPPES UpdateSeptember 27, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2022
NPI 1295196152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License Licensed in LA · 1544
Definition
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).
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 6401014593 (MI)
3353 UNIVERSITY PKWY, Leesville, LA 71446

Secondary Practice Location 1

Location 14765 Timberland DrBerrien Springs, MI 49103-1430 · Phone (269) 697-9623

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
3353 UNIVERSITY PKWY
LEESVILLE, LA 71446
General Practice
3353 UNIVERSITY PKWY, FORT POLK VA COMMUNITY BASED OUTPATIENT CLINIC
LEESVILLE, LA 71446
Clinic/Center (VA)
3353 UNIVERSITY PKWY
LEESVILLE, LA 71446
Nurse Practitioner (Family)
3353 UNIVERSITY PKWY
LEESVILLE, LA 71446
Nurse Practitioner (Family)
3353 UNIVERSITY PKWY
LEESVILLE, LA 71446
Family Medicine
3353 UNIVERSITY PKWY
LEESVILLE, LA 71446
Pharmacist (Geriatric)
3353 UNIVERSITY PKWY
LEESVILLE, LA 71446

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edwin Brennan's NPI number?

The NPI number for Edwin Brennan is 1295196152. It was assigned to this individual provider in the NPPES registry on March 18, 2016.

Where is Edwin Brennan located?

Edwin Brennan practices at 3353 University Pkwy, Leesville, LA 71446. The listed phone number is (337) 392-3800.

What is Edwin Brennan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

When was this NPI record last updated?

The NPPES record for Edwin Brennan was last updated on September 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.