| Doctor Name: | DR. DAVID WILLIAM WERNER |
| NPI Number: | 1033149984 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY. D |
| License Number: | 3696 |
| Business Practice Address: | 10 Pearl St Dedham, MA - 020264345 |
| Business Phone Number: | 7813291159 |
| Business Fax Number: | 7813291183 |
| Mailing Address: | 10 Pearl St, DEDHAM |
| State: | MA |
| Postal Code: | 020264345 |
| Phone Number: | 7813291159 |
| Fax Number: | 7813291183 |
| NPI Enumeration Date: | 07/04/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TA0400X |
| License Number: | 3696 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |