Lynn M Reardon in Rutland - Addiction (substance Use Disorder)
Lynn M Reardon - NPI 1174600860
Lynn M Reardon is a Addiction (substance Use Disorder) in Rutland, Vermont. Lynn M Reardon practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Lynn M Reardon is 1174600860. The last update date is 2007-07-08.
Lynn M Reardon's current location address is 67 Grove St, Rutland, Vermont. You can contact this provider via phone number 8027866992. The mailing address for Lynn M Reardon is 67 Grove St, Rutland, Vermont. To know further, please read the information below!
Provider Profile Detail
Provider Name | Lynn M Reardon |
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Address | 67 Grove St, Rutland, Vermont |
Phone Number | 8027866992 |
Fax Number | |
Sole Proprietor | Y |
Credentials | LADC/MHC |
NPI Number Detail
NPI Number | 1174600860 |
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Provider Enumeration Date | 2006-11-01 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 67 Grove St |
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City | Rutland |
State | Vermont (VT) |
Post Code | 57013402 |
Phone Number | 8027866992 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Licence No | 303 |
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 |
---|---|---|---|
1007141 | VT | -- | |
48433 | VT | BC/BS |
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What is the unique identification code assigned to Lynn M Reardon by the Centers for Medicare & Medicaid Services?
The Lynn M Reardon has been issued the NPI (National Provider Identifier) 1174600860. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lynn M Reardon located?
The Lynn M Reardon is located at 67 Grove St, Rutland, VT 57013402.
What is Lynn M Reardon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lynn M Reardon is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1174600860 to Lynn M Reardon?
The Centers for Medicare & Medicaid Services assigned the 1174600860 to Lynn M Reardon on 2006-11-01.
As of what date was the information regarding Lynn M Reardon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lynn M Reardon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1235130048
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