Susan N. Legacy, Md Pllc | |
188 Allen Brook Ln Williston VT 05495-9303 | |
(802) 876-4000 | |
(802) 876-4001 |
Full Name | Susan N. Legacy, Md Pllc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 188 Allen Brook Ln, Williston, Vermont |
Authorized Official Name and Position | Susan N Legacy (PHYSICIAN OWNER) |
Authorized Official Contact | 8028764000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Susan N. Legacy, Md Pllc 188 Allen Brook Ln Williston VT 05495-9303 Ph: (802) 876-4000 | Susan N. Legacy, Md Pllc 188 Allen Brook Ln Williston VT 05495-9303 Ph: (802) 876-4000 |
NPI Number | 1790834752 |
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Provider Enumeration Date | 01/09/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790834752 | NPI | - | NPPES |
1010298 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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