Hansen, Bradie Ann
Hansen, Bradie Ann is an sole proprietor health care provider with primary practice located at 174 Battery St Ste 2 , Burlington VT 05401-6201. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Hansen, Bradie Ann can be contacted via phone (802) 985-3603.Contact Information
Primary practice address
174 Battery St Ste 2
Burlington VT 05401-6201
Phone: (802) 985-3603
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 047.0000712 | Vermont |
Profile Details
| NPI number | 1871613125 |
|---|---|
| LBN Legal business name | Hansen, Bradie Ann |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2007 |
| Last updated | May 25th, 2019 - about 7 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 | 1871613125 | NPPES |
| Vermont | Other | 2232080 | CIGNA BEHAVIORAL HEALTH |
| Vermont | Other | 68032 | CIGNA BEHAVIORAL HEALTH |
| Vermont | MEDICAID | 1010473 | CIGNA BEHAVIORAL HEALTH |
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