Bisson, Jodie Lyn
Bisson, Jodie Lyn is an individual health care provider with primary practice located at 15 Pinecrest Dr , Essex Junction VT 05452-2912. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Bisson, Jodie Lyn can be contacted via phone (802) 288-1087.Contact Information
Primary practice address
15 Pinecrest Dr
Essex Junction VT 05452-2912
Phone: (802) 288-1087
Fax: (802) 878-4404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 047-0000632 | Vermont |
Profile Details
| NPI number | 1073587960 |
|---|---|
| LBN Legal business name | Bisson, Jodie Lyn |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Jan 6th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073587960 | NPPES |
| Vermont | MEDICAID | 1005484 |
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