| Psyipum Llc | |
|
278 College St Burlington VT 05401-8319 | |
| (802) 497-2187 | |
| Not Available |
| Full Name | Psyipum Llc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 278 College St, Burlington, Vermont |
| Authorized Official Name and Position | Michael O'toole (OWNER) |
| Authorized Official Contact | 8024972187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psyipum Llc 278 College St Burlington VT 05401-8319 Ph: (802) 497-2187 | Psyipum Llc 278 College St Burlington VT 05401-8319 Ph: (802) 497-2187 |
| NPI Number | 1982311882 |
|---|---|
| Provider Enumeration Date | 10/31/2022 |
| Last Update Date | 10/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982311882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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