Breanna Wardwell, is a
Developmental Therapist based in Springfield, Massachusetts. Breanna Wardwell is licensed to practice in * (Not Available) (license number ) and her current practice location is
110 Maple St Ste 110, Springfield, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(413) 732-7419.
NPI number for Breanna Wardwell is 1508351107 and her current mailing address is 345 Greenwood St Ste A, Worcester, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508351107.
Healthcare Provider's Profile
Full Name | Breanna Wardwell |
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Gender | Female |
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Speciality | Developmental Therapist |
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Location | 110 Maple St Ste 110, Springfield, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508351107
- Provider Enumeration Date: 06/26/2018
- Last Update Date: 08/11/2018
Medical Identifiers
Medical identifiers for Breanna Wardwell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508351107 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Secondary |
222Q00000X | Developmental Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Breanna Wardwell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Breanna Wardwell, 345 Greenwood St Ste A, Worcester, MA 01607-1767 Ph: () - | Breanna Wardwell, 110 Maple St Ste 110, Springfield, MA 01105 Ph: (413) 732-7419 |
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