Coulter, Martha Jean

Coulter, Martha Jean is an sole proprietor health care provider with primary practice located at 128 Merchants Row 6Th Floor, Rutland VT 05701-5909. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Coulter, Martha Jean can be contacted via phone (802) 773-1411.

Contact Information

Primary practice address
128 Merchants Row 6Th Floor Rutland VT 05701-5909
Phone: (802) 773-1411
Fax: (802) 775-7319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 000194-1 New York
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0470000386 Vermont
Behavioral Health & Social Service Providers / School 103TS0200X Vermont

Profile Details

NPI number 1629107156
LBN Legal business name Coulter, Martha Jean
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2007
Last updated Nov 14th, 2009 - 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 1629107156 NPPES
Vermont Other 956673 MVP
Vermont Other VF6352 MVP
Vermont MEDICAID 1002138 MVP
Vermont Other 062-2690 MVP
Vermont Other 120304000 MVP
Vermont Other 2028356 MVP

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