Tully, Alexandra

Tully, Alexandra is an individual health care provider with primary practice located at 130 Austine Dr Ste 210 , Brattleboro VT 05301-6994. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Tully, Alexandra can be contacted via phone (802) 254-3922.

Contact Information

Primary practice address
130 Austine Dr Ste 210 Brattleboro VT 05301-6994
Phone: (802) 254-3922
Fax: (802) 258-9512
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X Vermont

Profile Details

NPI number 1184716037
LBN Legal business name Tully, Alexandra
Credentials MA, CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Mar 11th, 2008 - 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 1184716037 NPPES
Vermont MEDICAID 1008121
Vermont Other 58731
Vermont MEDICAID 30432888

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