Mary Ann Dattilo Boyd in Bristol - Clinical
Mary Ann Dattilo Boyd - NPI 1104903319
Mary Ann Dattilo Boyd is a Clinical in Bristol, Vermont. Mary Ann Dattilo Boyd practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Ann Dattilo Boyd is 1104903319. The last update date is 2007-07-08.
Mary Ann Dattilo Boyd's current location address is 459 Lower Notch Rd, Bristol, Vermont. You can contact this provider via phone number 8023496182. The mailing address for Mary Ann Dattilo Boyd is 459 Lower Notch Rd, Bristol, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Ann Dattilo Boyd |
|---|---|
| Address | 459 Lower Notch Rd, Bristol, Vermont |
| Phone Number | 8023496182 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1104903319 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 459 Lower Notch Rd |
|---|---|
| City | Bristol |
| State | Vermont (VT) |
| Post Code | 54435210 |
| Phone Number | 8023496182 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 890001058 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique identifier code issued to Mary Ann Dattilo Boyd by the Centers for Medicare & Medicaid Services?
The Mary Ann Dattilo Boyd has been assigned the NPI (National Provider Identifier) 1104903319. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mary Ann Dattilo Boyd is geographically located?
The Mary Ann Dattilo Boyd is physically situated at the following location: 459 Lower Notch Rd, Bristol, VT, 54435210.
What is the Mary Ann Dattilo Boyd's specialty and taxonomy code?
The Mary Ann Dattilo Boyd's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104903319 to Mary Ann Dattilo Boyd?
The Centers for Medicare & Medicaid Services assigned the 1104903319 to Mary Ann Dattilo Boyd on 2006-11-01.
When was the information regarding Mary Ann Dattilo Boyd most recently updated?
The details pertaining to the Mary Ann Dattilo Boyd, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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