Austin Puleio, Kimberly D

Austin Puleio, Kimberly D is an sole proprietor health care provider with primary practice located at 111 Main St , Hyde Park VT 05655. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Austin Puleio, Kimberly D can be contacted via phone (802) 888-6215.

Contact Information

Primary practice address
111 Main St Hyde Park VT 05655
Fax:
Website:

Health care specialties

Profile Details

NPI number 1497812739
LBN Legal business name Austin Puleio, Kimberly D
Credentials LICSW LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Jun 12th, 2009 - 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 1497812739 NPPES
Vermont MEDICAID 1012955

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