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Contact Information

WILLIAM D LAX, PhD
352 ORCHARD ST
BRATTLEBORO, VT05301-4217
 Phone: 802-380-8852
 Fax: 802-488-5714
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for WILLIAM D LAX · (Male)

NPI Number 1548247570
Status Active
Credentials PhD
Entity Individual
Enumeration date 12/30/2005
Last updated 04/13/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • VT License # 188
  • NH Medicaid 40426548
  • VT Medicaid 0002610
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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