Elizabeth Sprague in South Burlington - Psychologist
Elizabeth Sprague - NPI 1972718146
Elizabeth Sprague is a Psychologist in South Burlington, Vermont. Elizabeth Sprague practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Elizabeth Sprague is 1972718146. The last update date is 2016-01-08.
Elizabeth Sprague's current location address is 1 Kennedy Dr Ste L8, South Burlington, Vermont. You can contact this provider via phone number 8028601002 and fax number 8026588494. The mailing address for Elizabeth Sprague is 1 Kennedy Dr Ste L8, South Burlington, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth Sprague |
|---|---|
| Address | 1 Kennedy Dr Ste L8, South Burlington, Vermont |
| Phone Number | 8028601002 |
| Fax Number | 8026588494 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1972718146 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2016-01-08 |
Provider Mailing Address Detail
| Address | 1 Kennedy Dr Ste L8 |
|---|---|
| City | South Burlington |
| State | Vermont (VT) |
| Post Code | 54037165 |
| Phone Number | 8028601002 |
| Fax Number | 8026588494 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 048-0000797 |
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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 |
|---|---|---|---|
| 59431 | VT | BLUE CROSS BLUE SHIELD ID | |
| 1009110 | VT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Elizabeth Sprague by the Centers for Medicare & Medicaid Services?
The Elizabeth Sprague has been assigned the NPI (National Provider Identifier) 1972718146. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Elizabeth Sprague is physically located?
The Elizabeth Sprague is situated at the following address: 1 Kennedy Dr Ste L8, South Burlington, VT 54037165.
What is Elizabeth Sprague's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Elizabeth Sprague's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
When did Elizabeth Sprague receive its 1972718146 assignment?
The Elizabeth Sprague was assigned its 1972718146 on 2007-05-11, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Elizabeth Sprague most recently updated or revised?
The information pertaining to Elizabeth Sprague, including its address, specialty, and other relevant details, was last updated or revised on 2016-01-08.
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