Individual
DR. WILLIAM DAVID LAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
352 ORCHARD ST, BRATTLEBORO, VT 05301-4217
(802) 380-8852
(802) 488-5714
Mailing address
352 ORCHARD ST, BRATTLEBORO, VT 05301-4217
(802) 380-8852
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
188
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002610
—
VT
05
—
40426548
—
NH
Enumeration date
12/30/2005
Last updated
04/13/2023
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