Brezinski, William Allen

Brezinski, William Allen is an sole proprietor health care provider with primary practice located at 211 Hunter Park Laurel Ridge Psychological Associates, Princeton WV 24740. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Counseling is his primary health care specialty. Brezinski, William Allen can be contacted via phone (304) 487-6121.

Contact Information

Primary practice address
211 Hunter Park Laurel Ridge Psychological Associates Princeton WV 24740
Phone: (304) 487-6121
Fax: (304) 487-8741
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 282 West Virginia
Behavioral Health & Social Service Providers / School 103TS0200X 22034 West Virginia

Profile Details

NPI number 1609895440
LBN Legal business name Brezinski, William Allen
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Sep 18th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609895440 NPPES
Virginia MEDICAID 007709064
Virginia MEDICAID 0162860000

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