Dessureau, Brian K.

Dessureau, Brian K. is an individual health care provider with primary practice located at 100 Century Dr , Worcester MA 01606-1244. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Dessureau, Brian K. can be contacted via phone (508) 762-5400.

Contact Information

Primary practice address
100 Century Dr Worcester MA 01606-1244
Phone: (508) 762-5400
Fax: (508) 762-5410
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 8006 Massachusetts
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 8006 Massachusetts

Profile Details

NPI number 1932190279
LBN Legal business name Dessureau, Brian K.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated May 7th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1932190279 NPPES
Massachusetts MEDICAID 110022356A

Popular Providers