Individual
DR. BRADY JOHN HEWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 S PROSPECT ST, VERMONT CENTER FOR CHILDREN, YOUTH & FAMILIES, BURLINGTON, VT 05401-3456
(802) 847-7817
Mailing address
1 SOUTH PROSPECT, ST. JOSEPH 3, BURLINGTON, VT 05401-3456
(802) 847-3333
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042.0013104
VT
2084P0800X
Psychiatry Physician
052173
CT
2084P0800X
Psychiatry Physician
300674
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004082260
—
CT
05
—
004217099
—
CT
05
—
008001325
—
CT
05
—
008022622
—
CT
05
—
008055441
—
CT
05
—
1027719
—
VT
Enumeration date
04/04/2011
Last updated
12/11/2024
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