Individual
BRIAN S WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., M.S.W.
Contact information
Practice address
238 GREENBANKS HOLLOW RD, DANVILLE, VT 05828-9611
(802) 684-3636
Mailing address
238 GREENBANKS HOLLOW RD, DANVILLE, VT 05828-9611
(802) 684-3636
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00006545
PSYCHOLOGY
VT
05
—
00006545
—
VT
Enumeration date
12/27/2006
Last updated
07/09/2007
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