Erin Roland, Ph.d., Plc | |
3 Main St Ste 107 Burlington VT 05401-5216 | |
(802) 540-8140 | |
(802) 318-4391 |
Full Name | Erin Roland, Ph.d., Plc |
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Speciality | Clinic/Center |
Location | 3 Main St Ste 107, Burlington, Vermont |
Authorized Official Name and Position | Erin Bree Roland (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 8025408140 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Erin Roland, Ph.d., Plc 3 Main St Ste 107 Burlington VT 05401-5216 Ph: (802) 540-8140 | Erin Roland, Ph.d., Plc 3 Main St Ste 107 Burlington VT 05401-5216 Ph: (802) 540-8140 |
NPI Number | 1164816310 |
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Provider Enumeration Date | 03/26/2015 |
Last Update Date | 04/12/2015 |
Medicare PECOS PAC ID | 3173895778 |
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Medicare Enrollment ID | O20170816003499 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164816310 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | 0480060637 (Vermont) | Primary |
Provider Name | Erin Roland |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1417210113 PECOS PAC ID: 4284865486 Enrollment ID: I20140402000546 |
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