| Tina L Bleau, MA | |
|
30 Airport Rd, S Burlington, VT 05403-6432 | |
| (802) 658-3924 | |
| (802) 658-0216 |
| Full Name | Tina L Bleau |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 30 Airport Rd, S Burlington, Vermont |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427110188 | NPI | - | NPPES |
| 2252996 | Other | VT | CIGNA PROVIDER NUMBER |
| 00048412 | Other | VT | BC BS PROVIDER NUMBER |
| 389998 | Other | VT | MVP PROVIDER NUMBER |
| 1011221 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 047-0000688 (Vermont) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tina L Bleau, MA 11 Taft St, Essex Junction, VT 05452-3150 Ph: (802) 288-9986 | Tina L Bleau, MA 30 Airport Rd, S Burlington, VT 05403-6432 Ph: (802) 658-3924 |
Paul Gibeault, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 30 Airport Rd, S Burlington, VT 05403 Phone: 802-658-3924 Fax: 802-658-0216 | |
Joelle Palmer, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 30 Airport Rd, S Burlington, VT 05403 Phone: 802-658-3924 Fax: 802-658-0216 | |
Dr. Carolyn Rushford, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 366 Dorset St, Suite 10, S Burlington, VT 05403 Phone: 802-654-7607 | |
Cara M. Capparelli, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 30 Airport Rd, S Burlington, VT 05403 Phone: 802-658-3924 Fax: 802-658-0216 | |
Richard Wolak, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 30 Airport Rd, S Burlington, VT 05403 Phone: 802-658-0040 |