Mr Gordon Lane Faison, NA LCMHC in Brattleboro, VT

Mr Gordon Lane Faison, NA LCMHC is a Psychologist - Group Psychotherapy based in Brattleboro, Vermont. Mr Gordon Lane Faison is licensed to practice in Vermont (license number 068-0000321) and his current practice location is 54 Harris Place, Brattleboro, Vermont. He can be reached at his office (for appointments etc.) via phone at (802) 380-0695.

NPI number for Mr Gordon Lane Faison is 1710192935 and his current mailing address is Po Box 6262, Brattleboro, Vermont. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710192935.

Contact Information

	Mr Gordon Lane Faison, NA LCMHC
	54 Harris Place, Brattleboro, VT 05301
	(802) 380-0695
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Gordon Lane Faison
Gender	Male
Speciality	Psychologist - Group Psychotherapy
Location	54 Harris Place, Brattleboro, Vermont
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1710192935
Provider Enumeration Date: 05/11/2007
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Gordon Lane Faison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710192935	NPI	-	NPPES
1008170	Medicaid	VT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TP2701X	Psychologist - Group Psychotherapy	068-0000321 (Vermont)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Gordon Lane Faison is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Gordon Lane Faison, NA LCMHC Po Box 6262, Brattleboro, VT 05302 Ph: (802) 380-0695	Mr Gordon Lane Faison, NA LCMHC 54 Harris Place, Brattleboro, VT 05301 Ph: (802) 380-0695

Reviews and Comments

Psychologist in Brattleboro, VT

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
Elizabeth Rogers, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 60 Austine Dr, Brattleboro, VT 05301 Phone: 802-266-0966
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

Mr Gordon Lane Faison, NA LCMHC - Psychologist in Brattleboro, VT