Brandy E. Wyant, Llc | |
11 Brattle St Apt 18 Arlington MA 02476-4322 | |
(412) 728-3749 | |
Not Available |
Full Name | Brandy E. Wyant, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 11 Brattle St Apt 18, Arlington, Massachusetts |
Authorized Official Name and Position | Brandy Elizabeth Wyant (MANAGER) |
Authorized Official Contact | 4127283749 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brandy E. Wyant, Llc 11 Brattle St Apt 18 Arlington MA 02476-4322 Ph: () - | Brandy E. Wyant, Llc 11 Brattle St Apt 18 Arlington MA 02476-4322 Ph: (412) 728-3749 |
NPI Number | 1568188670 |
---|---|
Provider Enumeration Date | 10/19/2022 |
Last Update Date | 10/19/2022 |
Certification Date | 10/19/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568188670 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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