William David Lax in Brattleboro - Clinical
William David Lax - NPI 1548247570
William David Lax is a Clinical in Brattleboro, Vermont. William David Lax practices all healthcare services and medical treatments related to Clinical. The NPI Number for William David Lax is 1548247570. The last update date is 2023-04-13.
William David Lax's current location address is 352 Orchard St, Brattleboro, Vermont. You can contact this provider via phone number 8023808852. The mailing address for William David Lax is 352 Orchard St, Brattleboro, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William David Lax |
|---|---|
| Address | 352 Orchard St, Brattleboro, Vermont |
| Phone Number | 8023808852 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1548247570 |
|---|---|
| Provider Enumeration Date | 2005-12-30 |
| Last Updated Date | 2023-04-13 |
Provider Mailing Address Detail
| Address | 352 Orchard St |
|---|---|
| City | Brattleboro |
| State | Vermont (VT) |
| Post Code | 53014217 |
| Phone Number | 8023808852 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 188 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40426548 | NH | -- | |
| 2610 | VT | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to William David Lax?
The William David Lax has been issued the NPI (National Provider Identifier) 1548247570 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where William David Lax's facilities are situated?
The facilities of William David Lax are physically located at the following address: 352 Orchard St, Brattleboro, VT, 53014217.
What is the William David Lax's specialty and taxonomy code?
The William David Lax's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1548247570 to William David Lax?
The Centers for Medicare & Medicaid Services originally issued the 1548247570 to William David Lax on 2005-12-30.
As of what date were the details related to William David Lax most recently updated or revised?
The information pertaining to William David Lax, including its address, specialty, and other relevant details, was last updated or revised on 2023-04-13.
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