| Kristin Mount, Plc | |
|
11 Sandalwood Rd South Burlington VT 05403-7828 | |
| (802) 355-7741 | |
| Not Available |
| Full Name | Kristin Mount, Plc |
|---|---|
| Speciality | Psychologist |
| Location | 11 Sandalwood Rd, South Burlington, Vermont |
| Authorized Official Name and Position | Kristin S. Mount (OWNER) |
| Authorized Official Contact | 8029993902 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Mount, Plc 11 Sandalwood Rd South Burlington VT 05403-7828 Ph: (802) 355-7741 | Kristin Mount, Plc 11 Sandalwood Rd South Burlington VT 05403-7828 Ph: (802) 355-7741 |
| NPI Number | 1386313310 |
|---|---|
| Provider Enumeration Date | 09/13/2021 |
| Last Update Date | 09/13/2021 |
| Certification Date | 09/13/2021 |
| Medicare PECOS PAC ID | 9739536574 |
|---|---|
| Medicare Enrollment ID | O20231115002844 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386313310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kristin Mount |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1912552571 PECOS PAC ID: 5496083537 Enrollment ID: I20190827002735 |
| Provider Name | Kristin Mount |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912552571 PECOS PAC ID: 5496083537 Enrollment ID: I20231113001827 |
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