National Provider Identifier
Brent St. Clair
Brent St. Clair is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist in Corning, NY and a listed phone number of (607) 937-3274.
Profile Overview
- NPI
- 1386778561
- Provider Type
- Individual
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- March 16, 2007
- Last Updated
- December 10, 2019
Practice Location
- 33 Denison Pkwy W
- Corning, NY 14830-2613
Phone: (607) 937-3274
Mailing Address
- 115 Liberty St
- Bath, NY 14810-1508
Specialties
- Marriage & Family Therapist (106H00000X)
- Marriage & Family Therapist (106H00000X)
- Rehabilitation Practitioner (225400000X)
Full Record
- NPI
- 1386778561
- Entity Type
- Individual
- Last Name
- St. Clair
- First Name
- Brent
- Mailing Street Address
- 115 Liberty St
- Mailing City
- Bath
- Mailing State
- NY
- Mailing ZIP Code
- 14810-1508
- Mailing Country
- US
- Practice Street Address
- 33 Denison Pkwy W
- Practice City
- Corning
- Practice State
- NY
- Practice ZIP Code
- 14830-2613
- Practice Country
- US
- Practice Phone
- (607) 937-3274
- Enumeration Date
- March 16, 2007
- Last Updated
- December 10, 2019
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- December 10, 2019
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Marriage & Family Therapist (106H00000X), Marriage & Family Therapist (106H00000X), Rehabilitation Practitioner (225400000X)