Ivanova, Masha Y
Ivanova, Masha Y is an individual health care provider with primary practice located at 1 South Prospect Street Uhc St Josephs Wing 3Rd Floor, Burlington VT 05401. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Ivanova, Masha Y can be contacted via phone (802) 656-2796.Contact Information
Primary practice address
1 South Prospect Street Uhc St Josephs Wing 3Rd Floor
Burlington VT 05401
Phone: (802) 656-2796
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 048-0000914 | Vermont |
Profile Details
| NPI number | 1700043759 |
|---|---|
| LBN Legal business name | Ivanova, Masha Y |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2008 |
| Last updated | May 19th, 2008 - 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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