Edwards, Judith

Edwards, Judith is an sole proprietor health care provider with primary practice located at 56 Main St , Springfield VT 05156-2963. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Edwards, Judith can be contacted via phone (802) 376-5930.

Contact Information

Primary practice address
56 Main St Springfield VT 05156-2963
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 089-0000834 Vermont

Profile Details

NPI number 1780634865
LBN Legal business name Edwards, Judith
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated Jul 8th, 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 1780634865 NPPES
Vermont Other 080-58147 BLUE CROSS/BLUE SHIELD
Vermont MEDICAID 1008052 BLUE CROSS/BLUE SHIELD

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