Doctor Name: | MR. WILLIAM BERNARD DWINNELLS |
NPI Number: | 1003980665 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHC |
License Number: | 6209 |
Business Practice Address: | 789 Clapboardtree Street Westwood, MA - 02090 |
Business Phone Number: | 7817624001 |
Business Fax Number: | |
Mailing Address: | 8 Windsor Drive, ASHLAND |
State: | MA |
Postal Code: | 01721 |
Phone Number: | 5088815953 |
Fax Number: | |
NPI Enumeration Date: | 11/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6209 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |