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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184716037 | NPPES |
Vermont | MEDICAID | 1008121 | |
Vermont | Other | 58731 | |
Vermont | MEDICAID | 30432888 |
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