Susan M Fortier in Burlington - Adult Development & Aging
Susan M Fortier - NPI 1871519520
Susan M Fortier is a Adult Development & Aging in Burlington, Vermont. Susan M Fortier practices all healthcare services and medical treatments related to Adult Development & Aging. The NPI Number for Susan M Fortier is 1871519520. The last update date is 2015-11-20.
Susan M Fortier's current location address is 100 Mansfield Ave, Burlington, Vermont. You can contact this provider via phone number 8027345876 and fax number 8024895294. The mailing address for Susan M Fortier is 100 Mansfield Ave, Burlington, Vermont. To know further, please read the information below!
Provider Profile Detail
Provider Name | Susan M Fortier |
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Address | 100 Mansfield Ave, Burlington, Vermont |
Phone Number | 8027345876 |
Fax Number | 8024895294 |
Sole Proprietor | N |
Credentials | PSYD |
NPI Number Detail
NPI Number | 1871519520 |
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Provider Enumeration Date | 2006-07-14 |
Last Updated Date | 2015-11-20 |
Provider Mailing Address Detail
Address | 100 Mansfield Ave |
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City | Burlington |
State | Vermont (VT) |
Post Code | 54013322 |
Phone Number | 8027345876 |
Fax Number | 8024895294 |
Provider's Primary Taxonomy Detail
Speciality | Adult Development & Aging |
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Taxonomy | 103Ta0700X |
Licence No | 480000609 |
Definition: A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
0VN1431 | VT | -- | |
28128 | VT | BC/BS | |
41402 | VT | MVP |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Susan M Fortier by the Centers for Medicare & Medicaid Services?
The Susan M Fortier has been assigned the NPI (National Provider Identifier) 1871519520 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Susan M Fortier is physically located?
The Susan M Fortier is physically situated at the following address: 100 Mansfield Ave, Burlington, VT, 54013322.
What is the area of specialization for Susan M Fortier, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Susan M Fortier is Adult Development & Aging, and the corresponding taxonomy code that categorizes this area of expertise is 103Ta0700X.
On what date did the Susan M Fortier receive its 1871519520 assignment from the Centers for Medicare & Medicaid Services?
The Susan M Fortier was assigned its 1871519520 by the Centers for Medicare & Medicaid Services on 2006-07-14.
As of what date were the details related to Susan M Fortier most recently updated or revised?
The information pertaining to Susan M Fortier, including its address, specialty, and other relevant details, was last updated or revised on 2015-11-20.