| Mindful Solutions Pllc | |
|
160 Benmont Ave Suite 20 Bennington VT 05201-1873 | |
| (802) 442-3520 | |
| Not Available |
| Full Name | Mindful Solutions Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 160 Benmont Ave, Bennington, Vermont |
| Authorized Official Name and Position | Lisa Pezzulich (OWNER) |
| Authorized Official Contact | 8024423520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Solutions Pllc 157 Cobble Hl Shaftsbury VT 05262-9241 Ph: (802) 442-3520 | Mindful Solutions Pllc 160 Benmont Ave Suite 20 Bennington VT 05201-1873 Ph: (802) 442-3520 |
| NPI Number | 1740501071 |
|---|---|
| Provider Enumeration Date | 06/22/2010 |
| Last Update Date | 06/22/2010 |
| Medicare PECOS PAC ID | 0749472967 |
|---|---|
| Medicare Enrollment ID | O20101006000934 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740501071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0480000729 (Vermont) | Primary |
| Provider Name | Lisa M Pezzulich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417040767 PECOS PAC ID: 6204918741 Enrollment ID: I20080811000570 |
| Provider Name | Robert C Hemmer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134132053 PECOS PAC ID: 4284716721 Enrollment ID: I20210127002656 |
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