| Vermont Educational Support Associates, Inc. | |
|
1085 Us Route 4 E Suite 2a Rutland VT 05701 | |
| (802) 775-6331 | |
| (802) 775-6373 |
| Full Name | Vermont Educational Support Associates, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1085 Us Route 4 E, Rutland, Vermont |
| Authorized Official Name and Position | Joyce Anne Cunningham (PRESIDENT) |
| Authorized Official Contact | 8027756331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vermont Educational Support Associates, Inc. 1085 Us Route 4 Suite 2a Rutland VT 05701 Ph: (802) 775-6331 | Vermont Educational Support Associates, Inc. 1085 Us Route 4 E Suite 2a Rutland VT 05701 Ph: (802) 775-6331 |
| NPI Number | 1881038693 |
|---|---|
| Provider Enumeration Date | 04/23/2013 |
| Last Update Date | 04/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881038693 | NPI | - | NPPES |
| 6565 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 196 (Vermont) | Primary |
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