National Provider Identifier

Brianna L Kirwan, MAMFT

Brianna L Kirwan, MAMFT is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist in Mayville, NY and a listed phone number of (716) 400-8254.

NPI 1215739115Mayville, NYMarriage & Family Therapist

Profile Overview

NPI
1215739115
Provider Type
Individual
Primary Specialty
Marriage & Family Therapist
Enumeration Date
March 24, 2025
Last Updated
March 24, 2025

Practice Location

  • 4201 W Lake RD
  • Mayville, NY 14757-9618

Phone: (716) 400-8254

Specialties

  • Marriage & Family Therapist (106H00000X)
Full Record
NPI
1215739115
Entity Type
Individual
Last Name
Kirwan
First Name
Brianna
Middle Name
L
Name Prefix
Miss
Credential
MAMFT
Mailing Street Address
4201 W Lake RD
Mailing City
Mayville
Mailing State
NY
Mailing ZIP Code
14757-9618
Mailing Country
US
Mailing Phone
(716) 400-8254
Practice Street Address
4201 W Lake RD
Practice City
Mayville
Practice State
NY
Practice ZIP Code
14757-9618
Practice Country
US
Practice Phone
(716) 400-8254
Enumeration Date
March 24, 2025
Last Updated
March 24, 2025
Sex
X
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
March 24, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Marriage & Family Therapist (106H00000X)