Davidson, Judith A.
Davidson, Judith A. is an sole proprietor health care provider with primary practice located at 167 Main St Suite 401, Brattleboro VT 05301-7128. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Davidson, Judith A. can be contacted via phone (802) 257-1660.Contact Information
Primary practice address
167 Main St Suite 401
Brattleboro VT 05301-7128
Phone: (802) 257-1660
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 206 | Vermont |
Profile Details
| NPI number | 1427145465 |
|---|---|
| LBN Legal business name | Davidson, Judith A. |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1427145465 | NPPES |
| Vermont | Other | 410046 | MVP PROVIDER NUMBER |
| Vermont | MEDICAID | 0006569 | MVP PROVIDER NUMBER |
| Vermont | Other | 062-6569 | MVP PROVIDER NUMBER |
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