Renaudette, Marilyn Jean

Renaudette, Marilyn Jean is an sole proprietor health care provider with primary practice located at 4185 St George Rd , Williston VT 05495-7695. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Renaudette, Marilyn Jean can be contacted via phone (802) 651-7730.

Contact Information

Primary practice address
4185 St George Rd Williston VT 05495-7695
Phone: (802) 651-7730
Fax: (802) 651-7730
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 047-0000736 Vermont

Profile Details

NPI number 1003073644
LBN Legal business name Renaudette, Marilyn Jean
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2008
Last updated Oct 3rd, 2008 - 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 1003073644 NPPES
Vermont MEDICAID 1015179

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