Quayle, Oliver A

Quayle, Oliver A is an individual health care provider with primary practice located at 107 Fisher Pond Rd , St Albans VT 05478-6286. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Quayle, Oliver A can be contacted via phone (802) 524-6555.

Contact Information

Primary practice address
107 Fisher Pond Rd St Albans VT 05478-6286
Phone: (802) 524-6555
Fax: (802) 524-6562
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 047-0000664 Vermont

Profile Details

NPI number 1366417511
LBN Legal business name Quayle, Oliver A
Credentials LIC PSY. MA & LCMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Jul 8th, 2007 - about 19 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

Identifiers

StateTypeNumberIssuer
All States NPI 1366417511 NPPES
Vermont Other 357569 MHN
Vermont MEDICAID 1007192 MHN
Vermont Other 29870 MHN
Vermont Other CIGNA MHN

Popular Providers