Bronson Destadler LICSW

  • NPI 1073514196
According to our database, the NPI number for Bronson Destadler LICSW is 1073514196 and activated since 18 years ago. Bronson Destadler LICSW is an individual provider who specializes in Clinical, and the primary practice location is 143 State St, Newburyport, MA 01950. You can also contact Bronson Destadler LICSW via telephone number is (978) 462-2890. Provider NPI information was last updated on 07/08/2007.

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Overview of Bronson Destadler LICSW

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/10/2005
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 106400
  • License State: MA

Provider Mailing Address

  • Address: 143 State St
    Newburyport, MA 01950
  • Phone: 978-462-2890
  • Fax: 978-462-2890

Provider Practice Location

  • Address: 143 State St
    Newburyport, MA 01950
  • Phone: 978-462-2890
  • Fax: 978-462-2890

Scope of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 106400
  • License State: MA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Bronson Destadler LICSW?
  • A: The npi number for Bronson Destadler LICSW is 1073514196.
  • Q: What are Bronson Destadler LICSW's specialties?
  • A: Bronson Destadler LICSW's specialties are Clinical and different specialities.
  • Q: What is the medical license for Bronson Destadler LICSW?
  • A: The medical license number for Bronson Destadler LICSW is 106400 and issued in MA in USA.
  • Q: Where is Bronson Destadler LICSW practice location?
  • A: Bronson Destadler LICSW is practicing at 143 State St, Newburyport, MA 01950.
  • Q: How to contact Bronson Destadler LICSW?
  • A: You can contact Bronson Destadler LICSW via 978-462-2890.