Boni, Teresa

Boni, Teresa is an individual health care provider with primary practice located at 51 Fairview Street , Brattleboro VT 05301. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Boni, Teresa can be contacted via phone (802) 254-7500.

Contact Information

Primary practice address
51 Fairview Street Brattleboro VT 05301
Phone: (802) 254-7500
Fax: (802) 254-7501
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0890000210 Vermont
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1427126606
LBN Legal business name Boni, Teresa
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Jul 15th, 2016 - about 9 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 1427126606 NPPES
Vermont MEDICAID OVN1332

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