Luckhardt, Catherine M

Luckhardt, Catherine M is an sole proprietor health care provider with primary practice located at 1 Mill St Ste 206 , Burlington VT 05401-1534. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Luckhardt, Catherine M can be contacted via phone (802) 448-2028.

Contact Information

Primary practice address
1 Mill St Ste 206 Burlington VT 05401-1534
Phone: (802) 448-2028
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 048.0134289 Vermont
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 048.0134289 Vermont

Profile Details

NPI number 1730667114
LBN Legal business name Luckhardt, Catherine M
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 30th, 2018
Last updated Dec 2nd, 2021 - about 4 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 1730667114 NPPES
Vermont MEDICAID 6708640
Vermont MEDICAID 100218268901

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