Grabach, Eleanor Teresa

Grabach, Eleanor Teresa is an individual health care provider with primary practice located at 215 Stratton Rd , Rutland VT 05701-4621. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Grabach, Eleanor Teresa can be contacted via phone (802) 773-3386.

Contact Information

Primary practice address
215 Stratton Rd Rutland VT 05701-4621
Phone: (802) 773-3386
Fax: (802) 773-4578
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW5774 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1624 New Hampshire
Behavioral Health & Social Service Providers / Clinical 1041C0700X 089-0105654 Vermont

Profile Details

NPI number 1740282276
LBN Legal business name Grabach, Eleanor Teresa
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Sep 25th, 2015 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740282276 NPPES
New York MEDICAID 04183006
New York MEDICAID 1024723

Popular Providers