Roberts, Debra L
Roberts, Debra L is an sole proprietor health care provider with primary practice located at 128 Merchants Row Suite 611- 612, Rutland VT 05701-5911. 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 / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Roberts, Debra L can be contacted via phone (802) 786-8008.Contact Information
Primary practice address
128 Merchants Row Suite 611- 612
Rutland VT 05701-5911
Phone: (802) 786-8008
Fax: (802) 786-8008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 000207 | Vermont |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 089-0000521 | Vermont |
Profile Details
| NPI number | 1043384787 |
|---|---|
| LBN Legal business name | Roberts, Debra L |
| Credentials | LADC, LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Sep 22nd, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043384787 | NPPES |
| Vermont | Other | 364282 | MVP |
| Vermont | Other | 2172180 | MVP |
| Vermont | Other | 59865 | MVP |
| Vermont | Other | 115219 | MVP |
| Vermont | MEDICAID | 1010145 | MVP |
| Vermont | Other | 589706000 | MVP |
Popular Providers
-
Sharrow, Sheila
1 Commons Street , Rutland VT 05701 -
Trombetta, Jody A
7 Court Sq , Rutland VT 05701-4030 -
Morrison, Kristin A
78 S Main St , Rutland VT 05701-4530 -
Leicester, Bridget
90 Mahoney Ave Psychiatry & Psychotherapy Assocs, Rutland VT 05701-0000 -
Nystul, Nancy Ann
40 East Street , Rutland VT 05701 -
Markland, Shirley
7 Court Sq , Rutland VT 05701-4030 -
Chapman, Lisa
64 Allen St , Rutland VT 05701-4554 -
Keicher, Jason William
215 Stratton Rd , Rutland VT 05701-4621