Burgoon, Jennifer Romans
Burgoon, Jennifer Romans is an sole proprietor health care provider with primary practice located at 160 Hospital Dr , Bennington VT 05201-2279. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Burgoon, Jennifer Romans can be contacted via phone (210) 615-3483.Contact Information
Primary practice address
160 Hospital Dr
Bennington VT 05201-2279
Phone: (210) 615-3483
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY28112 | California |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 51200 | California |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 048.0132428 | Vermont |
Profile Details
NPI number | 1144343054 |
---|---|
LBN Legal business name | Burgoon, Jennifer Romans |
Credentials | PHD, |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 6th, 2007 |
Last updated | Sep 28th, 2021 - about 3 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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