Waldo, Andrea
Waldo, Andrea is an sole proprietor health care provider with primary practice located at 5138 Shelburne Rd , Shelburne VT 05482-6698. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Waldo, Andrea can be contacted via phone (802) 363-9515.Contact Information
Primary practice address
5138 Shelburne Rd
Shelburne VT 05482-6698
Phone: (802) 363-9515
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 068-0000331 | Vermont |
Profile Details
| NPI number | 1265595805 |
|---|---|
| LBN Legal business name | Waldo, Andrea |
| Credentials | MS, LCMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265595805 | NPPES |
| Vermont | MEDICAID | 1006797 |
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