Mark Anagnostopulos, | |
Anna Marsh Lane, Brattleboro, VT 05302 | |
(802) 257-7785 | |
Not Available |
Full Name | Mark Anagnostopulos |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | Anna Marsh Lane, Brattleboro, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326252990 | NPI | - | NPPES |
048-0000319 | Other | VT | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 048-0000319 (Vermont) | Primary |
Entity Name | Brattleboro Retreat |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730185232 PECOS PAC ID: 7012828908 Enrollment ID: O20041123000627 |
Mailing Address | Practice Location Address |
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Mark Anagnostopulos, Anna Marsh Lane, Brattleboro, VT 05302 Ph: (802) 257-7785 | Mark Anagnostopulos, Anna Marsh Lane, Brattleboro, VT 05302 Ph: (802) 257-7785 |
Roberta M. White, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 72 Whetstone Rd, Brattleboro, VT 05301 Phone: 902-275-2682 | |
Stephanie Case, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14 Park Place, Brattleboro, VT 05301 Phone: 802-257-8687 Fax: 802-451-1981 | |
John T Moran, MA, LADC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 51 Fairview St, Brattleboro, VT 05301 Phone: 802-254-6028 Fax: 802-254-7501 | |
Jeremy Dixon Birch, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 73 Main St, Brattleboro, VT 05301 Phone: 802-257-9468 | |
Ms. Deborah K Titus, MSW LICSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 51 Fairview Street, Brattleboro, VT 05301 Phone: 802-254-7500 Fax: 802-254-7501 | |
Lisa L Nicholson, LICSW Psychologist Medicare: Accepting Medicare Assignments Practice Location: 29 Elm St, Brattleboro, VT 05301 Phone: 802-254-7511 Fax: 802-254-7506 | |
Dr. Harvey Liss, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 67 Main St, Suite 38, Brattleboro, VT 05301 Phone: 802-257-1062 Fax: 802-257-4399 |