Percy Ballantine in Brattleboro - Cognitive & Behavioral
Percy Ballantine - NPI 1871580779
Percy Ballantine is a Cognitive & Behavioral in Brattleboro, Vermont. Percy Ballantine practices all healthcare services and medical treatments related to Cognitive & Behavioral. The NPI Number for Percy Ballantine is 1871580779. The last update date is 2009-03-17.
Percy Ballantine's current location address is Anna Marsh Lane, Brattleboro, Vermont. You can contact this provider via phone number 8022577785. The mailing address for Percy Ballantine is Anna Marsh Lane, Brattleboro, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Percy Ballantine |
|---|---|
| Address | Anna Marsh Lane, Brattleboro, Vermont |
| Phone Number | 8022577785 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1871580779 |
|---|---|
| Provider Enumeration Date | 2005-10-05 |
| Last Updated Date | 2009-03-17 |
Provider Mailing Address Detail
| Address | Anna Marsh Lane |
|---|---|
| City | Brattleboro |
| State | Vermont (VT) |
| Post Code | 53020803 |
| Phone Number | 8022577785 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Cognitive & Behavioral |
|---|---|
| Taxonomy | 103Tb0200X |
| Licence No | 042-0005715 |
|
Definition: A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| VT 0006779 | VT | -- |
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What is the unique 10-digit identification code assigned to Percy Ballantine by the Centers for Medicare & Medicaid Services?
The Percy Ballantine has been issued the NPI (National Provider Identifier) 1871580779, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Percy Ballantine?
The Percy Ballantine is situated at Anna Marsh Lane, in the city of Brattleboro, state of VT, with the zip code 53020803.
What is Percy Ballantine'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 Percy Ballantine is Cognitive & Behavioral, and the taxonomy classification code that categorizes this area of expertise is 103Tb0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1871580779 to Percy Ballantine?
The Centers for Medicare & Medicaid Services originally issued the 1871580779 to Percy Ballantine on 2005-10-05.
As of what date was the information regarding Percy Ballantine, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Percy Ballantine, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-03-17.
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