Fleisher, Courtney Landau

Fleisher, Courtney Landau is an individual health care provider with primary practice located at 111 Colchester Ave Patrick 408, Burlington VT 05401-1473. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Fleisher, Courtney Landau can be contacted via phone (802) 847-4923.

Contact Information

Primary practice address
111 Colchester Ave Patrick 408 Burlington VT 05401-1473
Phone: (802) 847-4923
Fax: (802) 847-8961
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071-007011 Illinois
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 7805018-2501 Utah
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 80416 Vermont

Profile Details

NPI number 1043371891
LBN Legal business name Fleisher, Courtney Landau
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Oct 6th, 2014 - about 11 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 1043371891 NPPES
Vermont MEDICAID 1019704
Vermont MEDICAID 34200275

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