DR. Wallace Brent Bzdell, ED.D.

NPI #1720600158 in Scotia, New York

Provider Information

NPI Number: 1720600158
Entity Type: Individual
Name: DR. Wallace Brent Bzdell, ED.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: ED.D.
Enumeration Date: May 7, 2020
Last Updated: May 7, 2020

Practice Location

Address: 7 SOMERSET LN
City: Scotia
State: New York
ZIP Code: 12302-2718
Phone: (518) 330-4753

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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