Pyka, Marek William

Pyka, Marek William is an individual health care provider with primary practice located at 560 Railroad St , St Johnsbury VT 05819. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Pyka, Marek William can be contacted via phone (802) 748-3181.

Contact Information

Primary practice address
560 Railroad St St Johnsbury VT 05819
Phone: (802) 748-3181
Fax: (802) 748-0704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 047-0000314 Vermont

Profile Details

NPI number 1194877829
LBN Legal business name Pyka, Marek William
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Aug 31st, 2011 - about 15 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 1194877829 NPPES
Vermont MEDICAID 1009753

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