State Of Vermont is a Psychiatry in Waterbury, Vermont. State Of Vermont practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for State Of Vermont is 1215017678. The last update date is 2008-04-23.
State Of Vermont's current location address is 103 South Main Street, Waterbury, Vermont. You can contact this provider via phone number 8022413009 and fax number 8022411439. The mailing address for State Of Vermont is 103 South Main Street, Waterbury, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of Vermont |
|---|---|
| Address | 103 South Main Street, Waterbury, Vermont |
| Phone Number | 8022413009 |
| Fax Number | 8022411439 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Rowe Terry |
| Telephone Number | 8022413100 |
NPI Number Detail
| NPI Number | 1215017678 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2008-04-23 |
Provider Mailing Address Detail
| Address | 103 South Main Street |
|---|---|
| City | Waterbury |
| State | Vermont (VT) |
| Post Code | 56719800 |
| Phone Number | 8022413009 |
| Fax Number | 8022411439 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| VT4000 | VT | -- | |
| 474003 | VT | -- | |
| 474002 | VT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to State Of Vermont by the Centers for Medicare & Medicaid Services?
The State Of Vermont has been assigned the NPI (National Provider Identifier) 1215017678. 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 provide the complete street address where State Of Vermont is physically located?
The State Of Vermont is physically situated at the following address: 103 South Main Street, Waterbury, VT, 56719800.
What is State Of Vermont's specialized field of practice, and what is the corresponding taxonomy classification code?
The State Of Vermont's area of specialization is Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0800X.
On what date did the State Of Vermont receive its 1215017678 assignment from the Centers for Medicare & Medicaid Services?
The State Of Vermont was assigned its 1215017678 by the Centers for Medicare & Medicaid Services on 2006-10-17.
As of what date were the details pertaining to State Of Vermont last refreshed?
The information related to the State Of Vermont, including its address, specialty, and other relevant details, was last updated on 2008-04-23.