Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WALLACE BRENT BZDELL, ED.D.
Active Sole ProprietorDR. WALLACE BRENT BZDELL, ED.D. is a Psychologist healthcare provider located in SCOTIA, New York. NPI 1720600158 is currently active in the NPPES registry. Verify at CMS.
Psychologist · SCOTIA, NY
Registration Details
- NPI Number
- 1720600158
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 7, 2020 (6.2306596829236 yrs)
- Last Updated
- May 7, 2020
- License
-
015981-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7 SOMERSET LNSCOTIA, NY, 123022718Browse NY providers · Browse ZIP 12302
- Phone
- 5183304753
- Primary Specialty
-
Psychologist
103T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.