Bradie Ann Hansen in Shelburne - Psychologist
Bradie Ann Hansen - NPI 1871613125
Bradie Ann Hansen is a Psychologist in Shelburne, Vermont. Bradie Ann Hansen practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Bradie Ann Hansen is 1871613125. The last update date is 2019-05-25.
Bradie Ann Hansen's current location address is 74 Trillium Ln, Shelburne, Vermont. You can contact this provider via phone number 8029853603. The mailing address for Bradie Ann Hansen is 74 Trillium Ln, Shelburne, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradie Ann Hansen |
|---|---|
| Address | 74 Trillium Ln, Shelburne, Vermont |
| Phone Number | 8029853603 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.A. |
NPI Number Detail
| NPI Number | 1871613125 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2019-05-25 |
Provider Mailing Address Detail
| Address | 74 Trillium Ln |
|---|---|
| City | Shelburne |
| State | Vermont (VT) |
| Post Code | 54826405 |
| Phone Number | 8029853603 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 47.0000712 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2232080 | VT | CIGNA BEHAVIORAL HEALTH | |
| 68032 | VT | BCBS OF VERMONT | |
| 1010473 | VT | -- |
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What is the unique identification code assigned to Bradie Ann Hansen by the Centers for Medicare & Medicaid Services?
The Bradie Ann Hansen has been issued the NPI (National Provider Identifier) 1871613125. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Bradie Ann Hansen's physical address?
The Bradie Ann Hansen is physically located at 74 Trillium Ln, in the city of Shelburne, VT, with the postal code 54826405.
What is the Bradie Ann Hansen's area of specialization and corresponding taxonomy classification?
The Bradie Ann Hansen's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
When did Bradie Ann Hansen receive its 1871613125 assignment?
The Bradie Ann Hansen was assigned its 1871613125 on 2007-03-30, which is the date when this unique identifier was issued to the organization.
When was the information regarding Bradie Ann Hansen most recently updated?
The details pertaining to the Bradie Ann Hansen, including its address, specialty, and other relevant information, were last refreshed on 2019-05-25.
NPI Number: 1972505162
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