William David Lax PH.D.

NPI 1548247570 - Psychologist - 103TC0700X

NPI Details
NPI 1548247570
Gender Male
Enumeration Date 12/30/2005
Last Updated 11/19/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
167 MAIN ST
SUITE 401
BRATTLEBORO VT, 05301-7128, US
Phone (802) 258-9120
Fax
Business Location
PO BOX 1332
BRATTLEBORO VT, 05302-1332, US
Phone (802) 258-9120
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Vermont
License Number 188
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According to our database, Dr. William David Lax PH.D. NPI is 1548247570, taxonomy code is 103TC0700X and license number is 188, license state is located at Vermont. William David Lax PH.D. physically located at 167 Main St, Brattleboro VT, 05301-7128. NPI Number William David Lax PH.D. has the Individual type.

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1548247570 NPI number is provided on an as is basis without warranty of any kind. 1548247570 is maintained by the National Plan & Provider Enumeration System. The contents of William David Lax PH.D. are for informational purposes only.