Lariviere, Cynthia Leigh

Lariviere, Cynthia Leigh is an individual health care provider with primary practice located at 1 S Prospect St Fahc-Psychiatry Services, Burlington VT 05401-3456. 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. Lariviere, Cynthia Leigh can be contacted via phone (802) 847-4563.

Contact Information

Primary practice address
1 S Prospect St Fahc-Psychiatry Services Burlington VT 05401-3456
Fax: (802) 847-8747
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 517 Vermont

Profile Details

NPI number 1396767802
LBN Legal business name Lariviere, Cynthia Leigh
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Oct 10th, 2013 - about 12 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 1396767802 NPPES
New York MEDICAID 01257818
New York MEDICAID 0VN0103

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