Hall, Larry
Hall, Larry is an sole proprietor health care provider with primary practice located at 1 Steele St #113, Burlington VT 05401-6204. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Hall, Larry can be contacted via phone (802) 862-2383.Contact Information
Primary practice address
1 Steele St #113
Burlington VT 05401-6204
Phone: (802) 862-2383
Fax: (802) 862-2383
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 047-0000503 | Vermont |
Profile Details
| NPI number | 1609997444 |
|---|---|
| LBN Legal business name | Hall, Larry |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 2nd, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609997444 | NPPES |
| Vermont | MEDICAID | 1003291 |
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