Provider Demographics
NPI:1477858066
Name:BRIERE, DONALD III
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:
Last Name:BRIERE
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 WHITE BIRCH RD
Mailing Address - Street 2:
Mailing Address - City:EAST HAMPTON
Mailing Address - State:CT
Mailing Address - Zip Code:06424-1330
Mailing Address - Country:US
Mailing Address - Phone:860-490-5163
Mailing Address - Fax:
Practice Address - Street 1:56 WHITE BIRCH RD
Practice Address - Street 2:
Practice Address - City:EAST HAMPTON
Practice Address - State:CT
Practice Address - Zip Code:06424-1330
Practice Address - Country:US
Practice Address - Phone:860-490-5163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-13
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst