Dana Poverman in Burlington - Addiction (substance Use Disorder)
Dana Poverman - NPI 1497823058
Dana Poverman is a Addiction (substance Use Disorder) in Burlington, Vermont. Dana Poverman practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Dana Poverman is 1497823058. The last update date is 2011-05-16.
Dana Poverman's current location address is 208 Flynn Ave, Burlington, Vermont. You can contact this provider via phone number 8024886900 and fax number 8024886919. The mailing address for Dana Poverman is 208 Flynn Ave, Burlington, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dana Poverman |
|---|---|
| Address | 208 Flynn Ave, Burlington, Vermont |
| Phone Number | 8024886900 |
| Fax Number | 8024886919 |
| Sole Proprietor | N |
| Credentials | LCMHC, LAD |
NPI Number Detail
| NPI Number | 1497823058 |
|---|---|
| Provider Enumeration Date | 2006-12-01 |
| Last Updated Date | 2011-05-16 |
Provider Mailing Address Detail
| Address | 208 Flynn Ave |
|---|---|
| City | Burlington |
| State | Vermont (VT) |
| Post Code | 54015429 |
| Phone Number | 8024886900 |
| Fax Number | 8024886919 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 193 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1007287 | VT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Dana Poverman by the Centers for Medicare & Medicaid Services?
The Dana Poverman has been issued the NPI (National Provider Identifier) 1497823058, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Dana Poverman's physical address?
The Dana Poverman is physically located at 208 Flynn Ave, in the city of Burlington, VT, with the postal code 54015429.
What is the Dana Poverman's specialty and taxonomy code?
The Dana Poverman's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1497823058 to Dana Poverman?
The Centers for Medicare & Medicaid Services assigned the 1497823058 to Dana Poverman on 2006-12-01.
As of what date was the information pertaining to Dana Poverman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Dana Poverman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-05-16.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN