Gibeault, Paul

Gibeault, Paul is an individual health care provider with primary practice located at 30 Airport Rd , S Burlington VT 05403-6432. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Gibeault, Paul can be contacted via phone (802) 658-3924.

Contact Information

Primary practice address
30 Airport Rd S Burlington VT 05403-6432
Phone: (802) 658-3924
Fax: (802) 658-0216
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 047-0000718 Vermont

Profile Details

NPI number 1215099981
LBN Legal business name Gibeault, Paul
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Jul 9th, 2007 - about 18 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 1215099981 NPPES
Vermont MEDICAID 1011871
Vermont Other 00069123

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