Bleau, Tina L

Bleau, Tina L is an individual health care provider with primary practice located at 30 Airport Rd , S Burlington VT 05403-6432. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Bleau, Tina L can be contacted via phone (802) 658-3924.

Contact Information

Primary practice address
30 Airport Rd S Burlington VT 05403-6432
Phone: (802) 658-3924
Fax: (802) 658-0216
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 047-0000688 Vermont

Profile Details

NPI number 1427110188
LBN Legal business name Bleau, Tina L
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Jul 9th, 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 1427110188 NPPES
Vermont Other 2252996 CIGNA PROVIDER NUMBER
Vermont Other 00048412 CIGNA PROVIDER NUMBER
Vermont Other 389998 CIGNA PROVIDER NUMBER
Vermont MEDICAID 1011221 CIGNA PROVIDER NUMBER

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