Basili, Laura Anne

Basili, Laura Anne is an sole proprietor health care provider with primary practice located at 135 S Pleasant St , Middlebury VT 05753-1479. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Basili, Laura Anne can be contacted via phone (802) 989-8976.

Contact Information

Primary practice address
135 S Pleasant St Middlebury VT 05753-1479
Phone: (802) 989-8976
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X #863 Vermont
Behavioral Health & Social Service Providers / Family 103TF0000X #863 Vermont
Behavioral Health & Social Service Providers / Health 103TH0004X #863 Vermont

Profile Details

NPI number 1164544516
LBN Legal business name Basili, Laura Anne
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164544516 NPPES
Virginia Other 069001 VALUE OPTIONS
Virginia MEDICAID 1012427 VALUE OPTIONS
Virginia Other 4149537 VALUE OPTIONS

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