Stephen Cousino, LIC PSY MA | |
107 Fisher Pond Rd, Saint Albans, VT 05478-6286 | |
(802) 524-6554 | |
(802) 524-6562 |
Full Name | Stephen Cousino |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 107 Fisher Pond Rd, Saint Albans, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841654019 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 047-0115888 (Vermont) | Primary |
Entity Name | Northwestern Counseling & Support Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063501476 PECOS PAC ID: 3678545159 Enrollment ID: O20040806000598 |
Mailing Address | Practice Location Address |
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Stephen Cousino, LIC PSY MA 107 Fisher Pond Rd, Saint Albans, VT 05478-6286 Ph: (802) 524-6554 | Stephen Cousino, LIC PSY MA 107 Fisher Pond Rd, Saint Albans, VT 05478-6286 Ph: (802) 524-6554 |
Heidi Livingston, LIC PSY MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 107 Fisher Pond Rd, Saint Albans, VT 05478 Phone: 802-524-6554 Fax: 802-524-3894 | |
Mrs. Morgan Williams, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 319 S Main St, Saint Albans, VT 05478 Phone: 802-524-0305 | |
John X Dou, PSY. MA Psychologist Medicare: Medicare Enrolled Practice Location: 107 Fisher Pond Rd, Saint Albans, VT 05478 Phone: 802-524-6555 Fax: 802-524-6562 | |
Christina Hoerner, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 107 Fisher Pond Rd, Saint Albans, VT 05478 Phone: 802-524-6554 | |
Paul Norris, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 107 Fisher Pond Rd, Saint Albans, VT 05478 Phone: 802-524-6555 Fax: 802-524-6562 | |
Samantha Thomas, LIC PSYCH MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 107 Fisher Pond Rd, Saint Albans, VT 05478 Phone: 802-524-6555 Fax: 802-524-6562 | |
Robin K Galbraith, PSY. MA Psychologist Medicare: Medicare Enrolled Practice Location: 107 Fisher Pond Rd, Saint Albans, VT 05478 Phone: 802-524-6555 Fax: 802-524-6562 |