Sandra Nigolian Msw Psychotherapy Llc | |
431 Pine St # G13 Burlington VT 05401-4726 | |
(802) 338-5122 | |
Not Available |
Full Name | Sandra Nigolian Msw Psychotherapy Llc |
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Speciality | Clinic/Center |
Location | 431 Pine St # G13, Burlington, Vermont |
Authorized Official Name and Position | Sandra Nigolian (PROPRETORE) |
Authorized Official Contact | 8023385122 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sandra Nigolian Msw Psychotherapy Llc 431 Pine St # G13 Burlington VT 05401-4726 Ph: (802) 338-5122 | Sandra Nigolian Msw Psychotherapy Llc 431 Pine St # G13 Burlington VT 05401-4726 Ph: (802) 338-5122 |
NPI Number | 1124872841 |
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Provider Enumeration Date | 04/17/2024 |
Last Update Date | 04/17/2024 |
Medicare PECOS PAC ID | 1759723216 |
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Medicare Enrollment ID | O20240529002679 |
Identifier | Type | State | Issuer |
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1124872841 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Sandra Nigolian |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992557722 PECOS PAC ID: 2668814120 Enrollment ID: I20240529003019 |
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