Lodge, Alexander

Lodge, Alexander is an sole proprietor health care provider with primary practice located at 75 Talcott Rd Ste 30 , Williston VT 05495-8122. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Lodge, Alexander can be contacted via phone (802) 503-2929.

Contact Information

Primary practice address
75 Talcott Rd Ste 30 Williston VT 05495-8122
Phone: (802) 503-2929
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 047.0133699 Vermont
Behavioral Health & Social Service Providers / Psychologist 103T00000X 047.0133699 Vermont

Profile Details

NPI number 1720700404
LBN Legal business name Lodge, Alexander
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2022
Last updated Jan 29th, 2024 - about 2 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.

Request for update

Popular Providers