Hayden, Terrence M

Hayden, Terrence M is an individual health care provider with primary practice located at 300 Flynn Ave , Burlington VT 05401-5301. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hayden, Terrence M can be contacted via phone (802) 658-0400.

Contact Information

Primary practice address
300 Flynn Ave Burlington VT 05401-5301
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 089-0000172 Vermont

Profile Details

NPI number 1922044957
LBN Legal business name Hayden, Terrence M
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jun 16th, 2009 - about 15 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 1922044957 NPPES
Vermont MEDICAID 1007280

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