Tallmadge, James M

Tallmadge, James M is an individual health care provider with primary practice located at 1 S Prospect St Arnold 3, Burlington VT 05401-3456. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Tallmadge, James M can be contacted via phone (802) 847-4560.

Contact Information

Primary practice address
1 S Prospect St Arnold 3 Burlington VT 05401-3456
Phone: (802) 847-4560
Fax: (802) 847-8747
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 048-0000475 Vermont
Behavioral Health & Social Service Providers / Clinical 103TC0700X 048-0000475 Vermont
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 048-0000475 Vermont

Profile Details

NPI number 1578577508
LBN Legal business name Tallmadge, James M
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jun 14th, 2012 - about 13 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 1578577508 NPPES
Vermont MEDICAID 0009602

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