| Deirdre H. Donaldson, M.d., Plc | |
|
19 Belmont Ave Suite 104 Brattleboro VT 05301-7109 | |
| (802) 258-6590 | |
| (802) 258-6525 |
| Full Name | Deirdre H. Donaldson, M.d., Plc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 19 Belmont Ave, Brattleboro, Vermont |
| Authorized Official Name and Position | Deirdre H Donaldson (PRESIDENT) |
| Authorized Official Contact | 8022586590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deirdre H. Donaldson, M.d., Plc 19 Belmont Ave Suite 104 Brattleboro VT 05301-7109 Ph: (802) 258-6590 | Deirdre H. Donaldson, M.d., Plc 19 Belmont Ave Suite 104 Brattleboro VT 05301-7109 Ph: (802) 258-6590 |
| NPI Number | 1770886715 |
|---|---|
| Provider Enumeration Date | 12/14/2010 |
| Last Update Date | 12/14/2010 |
| Medicare PECOS PAC ID | 5496056319 |
|---|---|
| Medicare Enrollment ID | O20151218001464 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770886715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 042-0009619 (Vermont) | Primary |
| Provider Name | Deirdre Donaldson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164482923 PECOS PAC ID: 9638368228 Enrollment ID: I20110113000220 |
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