Gordon Lane Faison in Brattleboro - Group Psychotherapy
Gordon Lane Faison - NPI 1710192935
Gordon Lane Faison is a Group Psychotherapy in Brattleboro, Vermont. Gordon Lane Faison practices all healthcare services and medical treatments related to Group Psychotherapy. The NPI Number for Gordon Lane Faison is 1710192935. The last update date is 2007-07-08.
Gordon Lane Faison's current location address is Po Box 6262, Brattleboro, Vermont. You can contact this provider via phone number 8023800695. The mailing address for Gordon Lane Faison is Po Box 6262, Brattleboro, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gordon Lane Faison |
|---|---|
| Address | Po Box 6262, Brattleboro, Vermont |
| Phone Number | 8023800695 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NA LCMHC |
NPI Number Detail
| NPI Number | 1710192935 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 6262 |
|---|---|
| City | Brattleboro |
| State | Vermont (VT) |
| Post Code | 5302 |
| Phone Number | 8023800695 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Group Psychotherapy |
|---|---|
| Taxonomy | 103Tp2701X |
| Licence No | 068-0000321 |
|
Definition: A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intraperso |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1008170 | VT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Gordon Lane Faison by the Centers for Medicare & Medicaid Services?
The Gordon Lane Faison has been assigned the NPI (National Provider Identifier) 1710192935 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 physical location address of Gordon Lane Faison?
The Gordon Lane Faison is physically situated at Po Box 6262, in the city of Brattleboro, state of VT, with the postal code 5302.
What is the area of specialization for Gordon Lane Faison, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gordon Lane Faison is Group Psychotherapy, and the corresponding taxonomy code that categorizes this area of expertise is 103Tp2701X.
When did Gordon Lane Faison receive its 1710192935 assignment?
The Gordon Lane Faison was assigned its 1710192935 on 2007-05-11, which is the date when this unique identifier was issued to the organization.
When was the information related to Gordon Lane Faison most recently updated or refreshed?
The details pertaining to the Gordon Lane Faison, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.