Wardwell, Breanna
Wardwell, Breanna is an individual health care provider with primary practice located at 110 Maple St Ste 110 , Springfield MA 01105. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Wardwell, Breanna can be contacted via phone (413) 732-7419.Contact Information
Primary practice address
110 Maple St Ste 110
Springfield MA 01105
Phone: (413) 732-7419
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | ||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
NPI number | 1508351107 |
---|---|
LBN Legal business name | Wardwell, Breanna |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 26th, 2018 |
Last updated | Aug 11th, 2018 - about 6 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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