Green, Robert Lawrence

Green, Robert Lawrence is an individual health care provider with primary practice located at 1233 Shelburne Road Suite D 4, South Burlington VT 05403-7753. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Green, Robert Lawrence can be contacted via phone (802) 658-2390.

Contact Information

Primary practice address
1233 Shelburne Road Suite D 4 South Burlington VT 05403-7753
Phone: (802) 658-2390
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0680000015 Vermont

Profile Details

NPI number 1538120480
LBN Legal business name Green, Robert Lawrence
Credentials LCMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 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 1538120480 NPPES
Vermont MEDICAID 1006850
Vermont MEDICAID 30423776
Vermont Other 347880
Vermont Other 5062

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