| Kathryn Rickard Psyd Pllc | |
|
250 Main St Suite 201 Montpelier VT 05602-4257 | |
| (802) 498-7305 | |
| Not Available |
| Full Name | Kathryn Rickard Psyd Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 250 Main St, Montpelier, Vermont |
| Authorized Official Name and Position | Kathryn Rickard (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8024987305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Rickard Psyd Pllc 250 Main St Suite 201 Montpelier VT 05602-4257 Ph: (802) 498-7305 | Kathryn Rickard Psyd Pllc 250 Main St Suite 201 Montpelier VT 05602-4257 Ph: (802) 498-7305 |
| NPI Number | 1427598200 |
|---|---|
| Provider Enumeration Date | 02/28/2017 |
| Last Update Date | 03/03/2017 |
| Medicare PECOS PAC ID | 0749566461 |
|---|---|
| Medicare Enrollment ID | O20170412001844 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427598200 | NPI | - | NPPES |
| 1018279 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0480059488 (Vermont) | Primary |
| Provider Name | Kathryn M Rickard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508193814 PECOS PAC ID: 5698954287 Enrollment ID: I20110128000206 |
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