Frederick, Rita

Frederick, Rita is an sole proprietor health care provider with primary practice located at 178 Kelady Dr , Shelburne VT 05482-6450. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Frederick, Rita can be contacted via phone (802) 985-4961.

Contact Information

Primary practice address
178 Kelady Dr Shelburne VT 05482-6450
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0680000567 Vermont

Profile Details

NPI number 1699987461
LBN Legal business name Frederick, Rita
Credentials LCMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2007
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 1699987461 NPPES
Vermont Other 59987 BCBS PROVIDER NUMBER

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