Berry, Lawrence

Berry, Lawrence is an individual health care provider with primary practice located at 154 Duchess Ave , Newport VT 05855-5516. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Berry, Lawrence can be contacted via phone (802) 334-6744.

Contact Information

Primary practice address
154 Duchess Ave Newport VT 05855-5516
Phone: (802) 334-6744
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 068-000390 Vermont

Profile Details

NPI number 1093805889
LBN Legal business name Berry, Lawrence
Credentials MA, LCMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Jan 20th, 2009 - about 16 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 1093805889 NPPES
Vermont Other 63V025 MVP
Vermont MEDICAID 1007040 MVP
Vermont Other 00038296 MVP
Vermont Other 2019225 MVP

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