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189 Prouty Dr Newport VT 05855-9326 | |
| (802) 334-4111 | |
| (802) 334-3281 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 189 Prouty Dr, Newport, Vermont |
| Authorized Official Name and Position | Robert L Fotter (CFO) |
| Authorized Official Contact | 8023344111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
189 Prouty Dr Newport VT 05855-9326 Ph: (802) 334-4111 | 189 Prouty Dr Newport VT 05855-9326 Ph: (802) 334-4111 |
| NPI Number | 1962533877 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962533877 | NPI | - | NPPES |
| NORT00018788 | Other | VT | BLUE CROSS VERMONT |
| 0VN0493 | Medicaid | VT | |
| 391760 | Other | VT | MVP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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Northeast Kingdom Human Services Inc Mh Adult Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Duchess St, Newport, VT 05855 Phone: 802-334-6744 Fax: 802-334-7340 | |
Northeast Kingdom Human Services Inc Mh Children Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Duchess St, Newport, VT 05855 Phone: 802-334-6744 Fax: 802-334-7340 | |
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New Insights Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 29 Colfax St, Newport, VT 05855 Phone: 802-272-6648 | |
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