Lisa M Pezzulich is a Clinical in Bennington, Vermont. Lisa M Pezzulich practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa M Pezzulich is 1417040767. The last update date is 2010-07-22.
Lisa M Pezzulich's current location address is 160 Benmont Ave, Bennington, Vermont. You can contact this provider via phone number 8024423520 and fax number 8024473392. The mailing address for Lisa M Pezzulich is 160 Benmont Ave, Bennington, Vermont. To know further, please read the information below!
Provider Profile Detail
Provider Name | Lisa M Pezzulich |
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Address | 160 Benmont Ave, Bennington, Vermont |
Phone Number | 8024423520 |
Fax Number | 8024473392 |
Sole Proprietor | N |
Credentials | PSY.D. |
NPI Number Detail
NPI Number | 1417040767 |
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Provider Enumeration Date | 2006-10-01 |
Last Updated Date | 2010-07-22 |
Provider Mailing Address Detail
Address | 160 Benmont Ave |
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City | Bennington |
State | Vermont (VT) |
Post Code | 52011873 |
Phone Number | 8024423520 |
Fax Number | 8024473392 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 048-0000729 |
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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OVN1922 | VT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Lisa M Pezzulich by the Centers for Medicare & Medicaid Services?
The Lisa M Pezzulich has been issued the NPI (National Provider Identifier) 1417040767 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Lisa M Pezzulich's facilities are geographically located?
The facilities of Lisa M Pezzulich are physically situated at the following location: 160 Benmont Ave, Bennington, VT, 52011873.
What is Lisa M Pezzulich's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lisa M Pezzulich is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
When was the Lisa M Pezzulich's 1417040767 issued?
The Lisa M Pezzulich's 1417040767 was issued on 2006-10-01.
When was the information pertaining to Lisa M Pezzulich most recently updated or revised?
The details related to Lisa M Pezzulich, including its address, specialty, and other relevant information, were last updated or revised on 2010-07-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY