Breanna Wardwell

NPI #1508351107 in Springfield, Massachusetts

Provider Information

NPI Number: 1508351107
Entity Type: Individual
Name: Breanna Wardwell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Jun 26, 2018
Last Updated: Aug 11, 2018

Practice Location

Address: 110 MAPLE ST STE 110
City: Springfield
State: Massachusetts
ZIP Code: 01105
Phone: (413) 732-7419

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Cognitive & Behavioral — Cognitive & Behavioral	103TB0200X
Developmental Therapist	222Q00000X	Primary

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