Diblasio, Christine Marie

Diblasio, Christine Marie is an sole proprietor health care provider with primary practice located at 27 Rye Circle , South Burlington VT 05403-6209. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Diblasio, Christine Marie can be contacted via phone (802) 654-7607.

Contact Information

Primary practice address
27 Rye Circle South Burlington VT 05403-6209
Fax: (802) 654-9155
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 48-0000456 Vermont

Profile Details

NPI number 1689621922
LBN Legal business name Diblasio, Christine Marie
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2006
Last updated Sep 16th, 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 1689621922 NPPES
Vermont MEDICAID 1002861

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