Stoll, Miriam Freda

Stoll, Miriam Freda is an individual health care provider with primary practice located at 2 Colcheter Avenue , Burlington VT 05405-0134. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Stoll, Miriam Freda can be contacted via phone (802) 656-2661.

Contact Information

Primary practice address
2 Colcheter Avenue Burlington VT 05405-0134
Fax: (802) 656-3482
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0480000807 Vermont

Profile Details

NPI number 1720039860
LBN Legal business name Stoll, Miriam Freda
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Jul 8th, 2007 - about 17 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 1720039860 NPPES
Vermont MEDICAID 1009132
Vermont Other 59091

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