Longmaid, Kate Jessamyn

Longmaid, Kate Jessamyn is an sole proprietor health care provider with primary practice located at 110 Main St 4Th Floor, Suite 4B, Burlington VT 05401-8451. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Longmaid, Kate Jessamyn can be contacted via phone (802) 651-7535.

Contact Information

Primary practice address
110 Main St 4Th Floor, Suite 4B Burlington VT 05401-8451
Phone: (802) 651-7535
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 048-0000630 Vermont

Profile Details

NPI number 1609848324
LBN Legal business name Longmaid, Kate Jessamyn
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2006
Last updated Oct 11th, 2013 - about 11 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 1609848324 NPPES
Vermont Other VN1205 MEDICARE PTAN
Vermont MEDICAID OVN1205 MEDICARE PTAN

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