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Contact Information

BREANNA WARDWELL
110 MAPLE ST STE 110
SPRINGFIELD, MA01105
 Phone: 413-732-7419
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Therapist

222Q00000X
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BREANNA WARDWELL · (Female)

NPI Number 1508351107
Status Active
Credentials
Entity Individual
Enumeration date 06/26/2018
Last updated 08/11/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers Not Available
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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