Kelin Smith, Deborah
Kelin Smith, Deborah is an individual health care provider with primary practice located at 390 River St. , Springfield VT 05156. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Kelin Smith, Deborah can be contacted via phone (802) 886-4500.Contact Information
Primary practice address
390 River St.
Springfield VT 05156
Phone: (802) 886-4500
Fax: (802) 886-4520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 000234 | Vermont |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 000234 | Vermont |
Profile Details
| NPI number | 1619096302 |
|---|---|
| LBN Legal business name | Kelin Smith, Deborah |
| Credentials | M.ED., LADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Oct 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619096302 | NPPES |
| Vermont | Other | 59963 | BLUE CROSS |
| Vermont | Other | 2190024 | BLUE CROSS |
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