Reardon, Lynn M

Reardon, Lynn M is an sole proprietor health care provider with primary practice located at 67 Grove St , Rutland VT 05701-3402. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Reardon, Lynn M can be contacted via phone (802) 786-6992.

Contact Information

Primary practice address
67 Grove St Rutland VT 05701-3402
Phone: (802) 786-6992
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000303 Vermont
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 068-0000449 Vermont

Profile Details

NPI number 1174600860
LBN Legal business name Reardon, Lynn M
Credentials LADC/MHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 18 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 1174600860 NPPES
Vermont MEDICAID 1007141
Vermont Other 00048433

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