National Provider Identifier

Brandy Lynn Vandermark, MS

Brandy Lynn Vandermark, MS is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Tonawanda, NY and a listed phone number of (716) 833-3708.

NPI 1699871772Tonawanda, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1699871772
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
September 15, 2006
Last Updated
July 08, 2007

Practice Location

  • 1370 Niagara Falls Blvd
  • Tonawanda, NY 14150-8441

Phone: (716) 833-3708

Mailing Address

  • 3020 Bailey Ave
  • Buffalo, NY 14215-2814

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1699871772
Entity Type
Individual
Last Name
Vandermark
First Name
Brandy
Middle Name
Lynn
Name Prefix
MS.
Credential
MS
Mailing Street Address
3020 Bailey Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-2814
Mailing Country
US
Mailing Phone
(716) 833-8708
Mailing Fax
(716) 833-3711
Practice Street Address
1370 Niagara Falls Blvd
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150-8441
Practice Country
US
Practice Phone
(716) 833-3708
Practice Fax
(716) 833-3711
Enumeration Date
September 15, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)