Davis, Richard W.

Davis, Richard W. is an individual health care provider with primary practice located at 92 Adams St , Burlington VT 05401-4525. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Davis, Richard W. can be contacted via phone (802) 863-6114.

Contact Information

Primary practice address
92 Adams St Burlington VT 05401-4525
Phone: (802) 863-6114
Fax: (802) 496-6955
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 048-0000579 Vermont

Profile Details

NPI number 1194703868
LBN Legal business name Davis, Richard W.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 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 1194703868 NPPES
Vermont MEDICAID 0VN-0624

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