Doctor Name: | MR. WILLIAM MARTIN BREER |
NPI Number: | 1982820650 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | LCS 7330 |
Business Practice Address: | 22365 Barton Rd Suite 314 Grand Terrace, CA - 923135015 |
Business Phone Number: | 9098252151 |
Business Fax Number: | |
Mailing Address: | 23630 Hillview Rd, SAN BERNARDINO |
State: | CA |
Postal Code: | 924041010 |
Phone Number: | 9098868239 |
Fax Number: | 9098867334 |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS 7330 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |