Halloran, John Michael

Halloran, John Michael is an individual health care provider with primary practice located at 53 Fairview St , Brattleboro VT 05301-6630. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Halloran, John Michael can be contacted via phone (802) 251-8455.

Contact Information

Primary practice address
53 Fairview St Brattleboro VT 05301-6630
Phone: (802) 251-8455
Fax: (802) 251-8412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 151.0134063 Vermont
Behavioral Health & Social Service Providers / Clinical 103TC0700X 048.0134205 Vermont

Profile Details

NPI number 1336628056
LBN Legal business name Halloran, John Michael
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2018
Last updated Jan 27th, 2022 - about 3 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 1336628056 NPPES
New Hampshire MEDICAID 3121573
New Hampshire MEDICAID 6705758

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